Would Alarplasty be adequate to reduce wide bulbous Chinese nose and chronic history of acne/seborrheic skin? (Photo)
Doctor Answers 8
Alar base modification during Asian rhinoplasty
Rhinoplasty consisting of alar surgery would not be adequate.
I'm not sure what kind of “alar plasty” was recommended. Your issues are that the walls of your nostrils are very thick.These alar are also very tall, and when you smile, the entire nose is widened. Frankly, I am not sure that any of the standard procedures can give you exactly what you would like to have, and the only way to know is to have consultations in which several doctors can render an opinion.
First do some cosmetic surgery homework. The first and most important piece of homework should be seeking out a qualified, board-certified surgeon (in either plastic surgery or an otolaryngologist head & neck surgeon) one who is highly experienced and performs the procedure you want at least weekly and has done so for a decade.
You should also be able to see on the surgeon’s website many hundreds of before and after pictures, showing the changes in the procedure you want.
You should actually learn more about what your procedure involves, including:
- How to prepare for surgery
- Undergoing the actual surgery
- How long your recovery time should be
- What to tell others
- How long the surgical rejuvenation should last
Yet another note and reminder about the need for doing cosmetic surgery research before choosing a surgeon and going ahead with a procedure: Many, many cosmetic plastic surgery patients who did not investigate their surgeon – and came away unhappy with the results – will spend months and years, reading about having the procedure done correctly and finding just the right surgeon to perform the revision surgery.
Focus on finding a nasal super-specialist surgeon.
Today’s medicine is an area of extreme specialization; because medical knowledge doubles every 18 months, even specialists in a particular field of medicine select and concentrate on just a handful of procedures, becoming extremely familiar, efficient and adept at performing or delivering them.
For instance, a cardiologist knows all about the heart, but does not operate on them. A cardiac surgeon handles heart surgeries but may ask a heart valve specialist to do operations on heart valves. That heart valve surgeon has gone beyond being a specialist and is now a super-specialist, which is a medical, (and not advertising) classification.
Likewise, a cosmetic plastic surgeon who specializes in only four to seven facial procedures has become a super-specialist in say, cosmetic and functional nose surgery along with a few procedures of the face and neck.The super-specialist is more likely to have had a fellowship, an arrangement in which a younger surgeon works at the side of one or more Master Surgeons for a year, concentrating on and performing only a handful of procedures.
Bonus: a super-specialist works so efficiently, healing is faster because less tissue is disturbed going in and coming back out. The procedure is also more likely to be done correctly, the first time. In the case of nose surgery, that’s extremely important in a field where almost 20 percent of first nose jobs must be redone in a second revision surgery, owing to the extreme complexity and delicate nature of rhinoplasty which is widely known as the most difficult cosmetic surgery. Choosing a super-specialist means having something akin to an insurance policy in your back pocket.
Also ask about Computer Imaging.
Here’s how that works: photos are taken of you as you are and uploaded onto a special computer system that can morph your present appearance into an anticipated after picture (The technology is also known as Computer Morphing.).
Such imaging is an incomparable learning tool because it provides a forum for doctor-patient agreement on the after-surgery result that would satisfy you and is a result the doctor can deliver. After all, cosmetic surgery is 100% visual. It's about appearance, but without visuals, everything is left to the imagination. To anticipate a successful outcome, there must be a meeting of the minds between surgeon and patient. Why waste your time on a consultation in which the surgeon can’t demonstrate what he envisions as the outcome? Would you buy a painting without seeing it? In my opinion, a consultation without computer imaging is nearly worthless.
Best wishes, Robert Kotler, MD, FACS
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Additionally, a tiny bit of filler (Hyaluronic acid or Radiesse) can be put into the tip of your nose to make the tip just a touch less bulbous without surgery.
Wde Bulbous Nose
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.