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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.