M i good candidate for alar reduction? Which implant could help?
I think your nose is quite good. I would dissuade you from seeking any additional surgery.
You have a good nose and the risk for a worse nose, is not zero.
I think your results are very good. I do think the tip could be lower. I wouldn't change anything else. To lower the tip is a big deal, so I don't think I would recommend doing it when your result is so good.
With these limited views I think augmentation of both your radix and bridge would give you a more defined nose. The bridge can be narrowed. It is difficult to comment re the alar reduction without seeing a picture of your nose from below. In these pictures your nose also appears short but this can be evaluated during consultation and examination which is best for a patient like you who has multiple problems after rhinoplasty surgery.
Revision Rhinoplasty Questions
Dear 888angel888, A consultation and examination would be helpful in determining if your expectations could be met with revision surgery. I would suggest seeking consultation with some experts in the field of revision rhinoplasty. Computer imaging could be performed to show you the realistic proposed results taking into consideration your nasal anatomy and your primary procedure. If you are not returning to your original surgeon then it would be helpful to bring a copy of your operative report as well as your original before photographs. Best regards, Michael V. Elam, M.D.