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Can revision alarplasty fix my uneven nostrils? (Photos)

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Cecilia168Aug 3, 2025

I had alarplasty in 2008, my nostrils are uneven. Right side is higher and straighter, left side is lower and rounder.

Answers (3)

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Dr. Lexie Wang, MD
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Dr. Lexie Wang, MD
Board Certified Facial Plastic Surgeon, Board Certified Otolaryngologist
5.0 | 21 Reviews
Answered on Sep 4, 2025
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Dr. Alejandro Nogueira, MD
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Dr. Alejandro Nogueira, MD
Plastic Surgeon
4.6 | 109 Reviews
Answered on Aug 6, 2025
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Dr. Tanveer Janjua, MD
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Dr. Tanveer Janjua, MD
Board Certified Facial Plastic Surgeon
4.8 | 274 Reviews
Answered on Aug 6, 2025
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Mark Beaty, MD

Thank you for sharing your question and photos. You’re correct that an alarplasty could help you move toward your desired look, but to achieve results closer to your photoshopped image, additional refinements may be needed. This could include narrowing the dorsum to reduce overall width and r...

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Tanveer Janjua, MD

Yes, alarplasty will still help but it has to be conservatively done. You don't need any nasal sill excision which effects the nostril openings size. Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as...

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Tanveer Janjua, MD

Nostril Asymmetry It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was...

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Eric M. Joseph, MD

Based on your photos, you appear to have relatively thin nasal skin, with nostril retraction, and asymmetrical tip, and a crooked nasal appearance. Depending on your examination, microdroplet Silikon-1000 nasal injections maybe considered for achieving a less operated nasal appearance. Do not...

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Andrew Miller, MD

Based on your photos, you are a great candidate for rhinoplasty. An alarplasty can be done, but it would be best to make it part of a tip rhinoplasty procedure to refine the tip and support it better. That way it won't droop and widen as much when you smile. Be sure to see a rhinoplasty expert...

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Tanveer Janjua, MD

Your nostrils are making the bottom half of the nose appear large. Alarplasty will certainly make them less noticeable and contribute to the overall appearance of the nose. Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance....

+4 answers
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