Alar retraction and tip refinement in African-American rhinoplasty?

Hi from Istanbul! Your concern is entirely fixable, but a different method is employed. The most efficient way is through a technique called suture shaping, where sutures help narrow the tip and create better tip definition. Some extra cartilage may be used to enhance your nasal bridge and give projection; these are quite common steps in ethnic rhinoplasty procedures to create a proportional and refined nose. The use of extra cartilage will improve the retracted appearance as well. Please share some pictures or consult in-person with a surgeon experienced in ethnic rhinoplasty for more specific recommendations regarding your case. Best of luck!

African american rhinoplasty typically involves 4 different components. Some patients need them all, some only one or two. Here are the 4 components.
1. Improvement of the bridge height with an implant.
2. Narrowing of the wide upper nose (bony part) with osteotomies.
3. Narrowing of the tip (Tip-plasty)
4. Narrowing of the nostrils (Alarplasty)

Regards
Dr. J

Unfortunately, you have not provided photographs. However, the alar flare is not corrected by cartilage transfer but alar retraction is. I would need photographs to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.