Hi, My main concerns are the width of my nose (especially when I smile) and also the unevenness of my nostrils. I also don't like the flatness of my columella from certain angles. Would my concerns be addressed with just an alarplasty or would you recommend a full rhinoplasty? And how extensive would the procedure be? I am happy with the general shape of my nose and I only want a small enhancement. But I don't want to look like I just pinched my nose with a clothespin either. Please advise! :)
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Answers (4)
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Thank you for your question, xosj. You are in the early stages of the healing process. Keep in mind it takes up to one full year for the nose to completely heal, but around three to four months after the surgery the changes will be the most obvious. Best wishes,
I've performed this multiple times and I have not encountered scarring issues referenced by some. When the alar walls are extremely thick, the risk of scarring is worth the trade-off. I would not recommend it for a minor thickness problem.
You can have a nice subtle result but don't expect a huge change. Do an alar base reduction with an internal sill incision (not in the outer part of the alar base) and use ear cartilage grafts to better extend and refine the tip and a columella graft for support. You will require an external a...