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I perform alarplasty quite frequently due to the nature of my patient population, which includes many Asians, Latinas, and African Americans.
an alarplasty surgeon would be a very specialized rhinoplasty surgeon. i am not sure that there is anyone anywhere that bills himself or herself as a alarplasty surgeon. a well trained and experienced rhinoplasty surgeon can likely meet your needs. i am sure there are many in LA. but consider getting away. come visit austin tx. i would be glad to see you.
Dr. Richard E. Davis is a very highly regarded rhinoplasty surgeon in southern Florida. He would be a great surgeon to consult with.
Alar reduction is one procedure in rhinoplasty in which the soft tissue is actually removed. Therefore, in order to reverse it, soft tissue and skin needs to be replaced. Doing this is difficult. First, the tissue to be added must be stiff enough to overcome the contracture and...
The width of the base of the nostrils must balance with the size of the tip, and the distance between the eyes, or the intercanthal distance. If your nose is in the middle of the three pictures, a combined Weir/sill incision would best address the width and flare of your nostrils.
I think you need to give it some more time to allow proper healing. At this point in the recovery process you are undoubtedly still seeing some degree of swelling from the actual procedure. With time and scar conctracture this area should improve steadily. You are right that 5 mm of excision on...
Alar base reduction will narrow the nostrils by removing 3-4 mm of skin at the floor of the nose and is a good procedure. This can also be done just under a local anesthesia.
There is no set amount that needs to be removed. It all depends on the current width of your nose, whether your nose flares with smiling, and what will still maintain a natural appearance with the rest of your face. Generally, the recommendation of "x mm" will refer to each side....