Would alarplasty give me the refinement that I'm looking for or do I need revision rhinoplasty? (Photos)

Based on your photos, you appear to have nostril retraction where your soft tissue triangles look like upside down letter v's. This is associated with excess nostril show on profile view as well. Do not appear to have excessively wide nostrils, so I do not believe alarplasty would benefit you. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for decreasing your nostril show and for creating a less operated nasal tip appearance. Thank you for this question and I hope it helps. Sincerely, Dr Joseph

Based on the proportions of your ala and tip, you're not a great candidate for alarplasty alone. The nostrils would likely lose their natural curvature and would actually result in the tip looking less defined, not more. A minor revision rhinoplasty could enhance the aesthetic of your nasal tip without putting your nose at risk.

Actually your nose looks pretty good. Alarplasty will refine the bottom part of your nose. This should complete your rhinoplasty journey.
However, alarplasty is an irreversible procedure. Make sure to do your research well before proceeding.
Regards
Dr. J

The reason it looks like you need alarplasty is because of alar retraction and deep alar-tip grooving. You would be best served with a revision rhinoplasty that focuses on tip aesthetics to reposition and reinforce the cartilaginous tip complex with placement of alar rim grafts.

Based on these photographs, you have a great looking nose and you do not need a revision rhinoplasty. If the width of your nostrils bother you, then an Alar plasty can accomplish narrowing them. This procedure can be performed under local anesthesia an outpatient procedure which takes about 30 minutes.