I would like to reduce alar sidewall and correct deviated nasal tip/septum, but is alar sidewall reduction possible? (photos)
Doctor Answers 6
Alar Sidewall Reduction (Alarplasty)
Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.
I would like to reduce alar sidewall and correct deviated nasal tip/septum, but is alar sidewall reduction possible?
Septal issue? Dorsum
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Overall you have a very decent nose. You cannot make the two sides perfectly symmetric and at least based on these preliminary low resolution pictures, your nose is as symmetric as possible. If you don't want to reduce the small hump, or you dont want to make the tip smaller or lift it up slightly then I would leave it alone. You are chasing minutia and missing the big picture if you decide to pursue what seems to bother you in this case rather than what is aesthetically desirable in general.
Alar sidewall reductions are possible and can be made but most often the skin thickness is different from side to side as is the area where each nostril attaches to the cheeks (face). Those cannot be changed.
If your septum is deviated and you cant breath then a septoplasty should help with that. You need to go to a specialist and have him or her examine you and do computer imaging and show you what may be possible.
Septoplasty and Rhinoplasty candidate
The rhinoplasty procedure can address the twisted tip and narrow the nasal tip cartilages. An alar platy can narrow wide nostrils. The hump on the nose can certainly be left alone if it's your personal desire. A septoplasty and a rhinoplasty can be performed together under one anesthetic
For many examples, please see the link below to our rhinoplasty photo gallery
An adroit plastic surgeon should be able to achieve a symmetric result for your tip.
There are a number of techniques that can be used to get the result you look for.
Make sure you go to an experienced rhinoplasty surgeon.