Would a alar base reduction actually help change my nostril shape? Or would I have to get a full rhinoplasty? (photos)

Question

I don't like the width and for a lack of a better term "droopiness" and asymmetry of my nostrils, but I like the rest of my nose. I don't have an issue with the bulbous tip. I would love for my nostrils to be less visible from a front view. Would an alar base reduction actually change the way my nostrils look without it looking super unnatural, or weirdly constriced/stuffy? Or would I have to get a full rhinoplasty? Are there any other things I could do to change the nostril shape?

Stephen Prendiville, MD · Answer

Thank you for your question.  I am not sure that Alar base reduction alone would provide the degree of change that would make a surgical procedure worthwhile for you.  Best to seek an in person or virtual consultation in order to determine what is best for you.

Bianca Knoll, MD · Answer

thank you for posting your question. You are very pretty, and your nose compliments your face very well. Any surgery alternating your nostrils or alar base, may cause  visible scars or asymmetry. I think you will be much better off by not doing anything. Altough some patients will benefit from a tip rhinoplasty and alar reduction, I truly think the risks outweigh the benefits in your case.

Michael B. Lyons, MD, FAACS · Answer

Hello and thank you for your questions and photos. Narrowing your nostrils will mainly constrict the base of your nasal airway, you will still have quite visible nostrils from a front view. Their is risks of scar formation at the base as well. An open technique tip rhinoplasty with septal graft to rotate your tip down would reduce the nostril appearance from a frontal view (with or without nostril narrowing). An in person analysis to fully evaluate the nasal cartilages and skin would help your surgeon to make a final recommendation.

Would a alar base reduction actually help change my nostril shape? Or would I have to get a full rhinoplasty? (photos)

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Answers (3)

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