Can nostrils be enlarged after Alar Base Reduction?

I had rhinoplasty 2 months ago for tip and nostrils, nostrils are small i want to know if they can be enlarged by surgery or in office under local anaesthesia? And i want to ask about my tip it is too small how to make it larger naturally?

Doctor Answers 4

Enlarging the Nostrils

There are a variety maneuvers that can enlarge the alar base depending on the the shape of the other structures. This has to be considered at least a year after the initial surgery. You may wish to seek your surgeon's advice and explore the options in this regard.


Cleveland Plastic Surgeon
4.8 out of 5 stars 21 reviews

Alar base reduction in rhinoplasty

It is important to be patient at this point.  As with any rhinoplasty procedure, you will not likely to see your final results for 9 months, or longer.  In the long-term, the actual nasal width changes very little with alar base reduction.  However, it may seem so at this point.  In regards to the nasal tip, it is just as important to be patient for now, your nose is likely to continue to change over the next 6 months.  As always, it is important to communicate your concerns with your Plastic Surgeon.

Jarrod Little, MD
Louisville Plastic Surgeon
5.0 out of 5 stars 17 reviews

Alar base reduction, small nostrils, post operative rhinoplasty

You need to discuss your concerns with your surgeon.  This is early for you to be concerned and your surgeon is the best qualified to answer your questions.  To enlarge small nostrils is difficult ,bur not impossible.  It may require the use of grafts that might need to include cartilage.  Sometimes a local flap of tissue can be used but it might increase the scarring at the base of the nostril. The nostrils can be enlarged under local anesthesia if it is necessary to have surgery.  The tip could also be enlarged. Give yourself at least 6 months if not a year before you do anything. 

Edward Farrior, MD
Tampa Facial Plastic Surgeon
4.4 out of 5 stars 14 reviews

Enlarging Nostrils after rhinoplasty

Reversing an alar base reduction can be much more complex and unpredictable than performing one. It is best for surgeons to err on the side of conservative resection, and this holds true for most aspects of rhinoplasty. Follow up with your surgeon to discuss your concerns.

Roy A. David, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 23 reviews

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.