Would an alarplasty/tip refinement be enough for my Asian nose?

Question

I am primarily concerned with my wide nose and bulbous tip and not so much with adding height to my nose. I want to avoid getting any kind of implant in my nose, because I want my nose to look natural and not perfect. Would a rhinoplasty with alarplasty/tip refinement be enough to make my nose slimmer and more feminine? Thanks!

Nima Shemirani, MD · Answer

Dear Rihann224,The goals that you are looking for are realistic and achievable. The tip can be refined while leaving the rest of your nose alone to keep a natural look. 
It is best to have an in-person consultation so we can examine you and show you morphs of what is possible.
When you are ready, please visit a rhinoplasty specialist who can address your concerns and answer your questions.Best regards,Nima Shemirani

Charles S. Lee, MD, FACS · Answer

Giving more projection along the lower half of your nose will have an overall thinning effect along with giving more tip definition. In almost all primary cases, your internal septal cartilage can be used to accomplish this. Your alae will narrow as well, but if you wanted further narrowing, a conservative reduction could be performed.

Donald B. Yoo, MD, FACS · Answer

Based on your photos, it does appear that refining the tip of your nose and creating more height and projection to the bridge and tip of your nose will make a nice change to your overall appearance.

The safest, most permanent option for building up your nose is using tissue from your own body. Any synthetic implant will always have a higher risk of infection, migration or extrusion than your own tissue (such as ear cartilage or rib cartilage). 
Dorsal augmentation (building your bridge) with diced cartilage wrapped in fascia (DCF) provides predictable, reliable, consistently excellent results and becomes incorporated fully into your nose, unlike silicone. The most consistent results, however, come from the surgeon, not the technique.
An in-person evaluation by a specialist in Asian cosmetic surgery will allow you to consider the treatment options for improving the contour of your face.

Toby Mayer, MD · Answer

Asian rhinoplasty with alarplasty with tip narrowed etc. can be done without any other parts of rhinoplasty. It  really depends on what kind of a nose you like and what things you wish changed. The most important thing is select the surgeon who does natural noses and who will do what you want changed.

Kapil Saigal, MD, FACS · Answer

Its true that many surgeons recommend dorsal augmentation with tip and alar (nostril) surgery in asian patients, but this is not true for everyone. You are a great candidate for tip and nostril refinement because you prefer it! Be sure to discuss your case with a specialist and best of luck!

William Portuese, MD · Answer

From the limited photographs, does not appear that there's a bulbous tip present to start with. In addition, the cartilage present in the Asian nasal tip is very thin and removing it does very little to improve narrowing the nasal tip due to thick skin that is present in that area. An alar-plasty procedure can accomplish narrowing wide nostrils by removal of the wedge of skin at the base of them.

Victor Chung, MD · Answer

Asian rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance in an Asian features: low bridge, wide nostrils, thick skin, bulbous tip, retracted columella. When you have an idea of what changes you desire, I would schedule a consultation where a rhinoplasty specialist can ask you questions, examine your nose, and take photographs. I like to use 3D computer simulation to make sure I'm on the same page as my patients regarding their goals. Then I can recommend appropriate changes for a safe and happy result.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and I would go on complimentary consults where they use digital photography to show you how you might look following surgery so you are fully informed what type of surgery will give you the most aesthetically pleasing resultDr Corbin

Richard W. Fleming, MD (retired) · Answer

I'm sorry but your pictures are not clear on my computer and there is no profile view. Having said that limiting your surgery to refining the tip and narrowing the nasal base is probably a reasonable approach depending on your goals. I suggest you consult with a renoplasty expert to discuss your options.

Would an alarplasty/tip refinement be enough for my Asian nose?

Answers (9)

More Asian Rhinoplasty Questions

Is removing a silicone nose implant after 15 years recommended? What are "less" invasive recommendations for a revision?(photos)

Cadaveric rib (not my own) or silicone?

Tip plastic and alar trim surgery only. Not happy with the result. Will the 'pinch look' ever subside as my nose heals?

Asian rhinoplasty versus Rhinoplasty, what's the difference?

Asian rhinoplasty: my radix is too high, is this due to swelling? Will my tip get any smaller? (Photo)

WE SEND PRETTY
EMAILS