Is alar base reduction and alarplasty the same or different? How to fix nostril height and width to match other (photos)

Question

Post op one of my nostrils is wider and taller than the other. Would one of the listed procedures fix this for me? I am worried I would be able to fix the wider issue but not the taller issue. Since most B&A pics of alarplasty seem to make nostrils less wide but still the same height. Basically, how do I fix width and height of it? Last, how do I know if I already have or need an alar rim graft on the smaller one?

Philip J. Miller, MD, FACS · Answer

This needs an in-person evaluation. There are often an assortment of reasons that patients are unhappy with their initial nose job. Revision rhinoplasty is an option to address these issues of concern.

When performing revision rhinoplasty or a secondary nose job, it may be necessary to employ an open rhinoplasty surgical technique which entails placing an incision across the columella (skin between the nostrils). This surgical technique allows for a facial plastic surgeon to have improved clarity. Subsequently, for my patients this allows me to better see and approach the problem.

The best piece of advice I can give you is to seek out a revision rhinoplasty specialist that is board certified in facial plastic surgery. A rhinoplasty done in the hands of an inexperienced surgery takes longer and you may be able to speak better to this than most others, often leaves you with an undesirable result. Do your research and go on a few consultations. The more unified your vision is with your surgeon, the better your end result will be. I wish you the best on your journey toward fixing your nose.

Sincerely,
Philip J. Miller, MD, FACS Double Board-Certified Facial Plastic Surgeon

Is alar base reduction and alarplasty the same or different? How to fix nostril height and width to match other (photos)

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Everything you need to know about Revision Rhinoplasty

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Is alar base reduction and alarplasty the same or different? How to fix nostril height and width to match other (photos)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.