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Alar base reduction without tip work - will this improve the look of my nose? (photos)

Fabulous429463Apr 10, 2022
Hello I am African American with really thick skin. I have had a rhinoplasty several years ago. I have consulted with a surgeon and he advised me he didn't think he would be able to improve my tip at all. But he did think an alar base reduction would work for me. My question is, will bringing in my nose from the sides and just leaving my tip they way it is, will that make my tip looks more bulbous, will an alar base reduction alone give my nose a favorable result or improve the look of it?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Cem Altindag, MD
Otolaryngologist
Answered on Apr 16, 2022
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Ronald J. Edelson, MD

You have a butch in your ala. you need an internal nostril graft with skin and probably cartilage. Not a difficult procedure technically and should provide some correction

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Tanveer Janjua, MD

It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. Also, it is...

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Cem Altindag, MD

Hi, thank you for your question. Alar plasty : In experienced surgeons, it has quite rare risk for scarring. Alar crease should not be the destination for incision. I need to see the images as well. Best. Dr. Cem Altindag

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