Is alarplasty surgery not recommended or done by surgeons anymore due to scarring and end results?

Question

I had a rhinoplasty done January of 2018. My surgeon did great and exactly what I asked for the bridge work, but due to my new tip and bridge my nostrils now look too wide and flare. I was looking online at alarplasties and just feel like it would suit me. So, I emailed a board certified surgeon and he told me he generally does not recommended alarplasty because the scarring is visible and it gives the nose a diamond rather than triangular shape. Is this true? Is it not recommended?

Suleyman Tas, MD, FEBOPRAS · Answer

Hello, Thank you for question and provided information,  Alarplasty or  alar base reduction  procedure is performed to reduce the wideness of alas and alar base to catch the harmany of face with other facial features and for that reason there are incision  in the grooves. However, after a successful operation those incision can be seen hardly.Best Regards,

David Gilpin, MD · Answer

Thank you so much for your question.  Congratulations on having a rhinoplasty.  An Alarplasty or an alar base reduction is a wonderful adjunctive procedure to a rhinoplasty.  Your surgeon is correct, that if an alarplasty is not meticulously closed, it can leave unsightly incision lines.  There are several methods to perform an alarplasty, and the method used depends on your physical exam and anatomy.  I would disagree that an this procedure leaves you with a 'diamond' shaped nose.  Our office has performed this many times over with very good results. I would suggest that you discuss this further with your surgeon.  Always be sure you are consulting with a board certified facial plastic surgeon or plastic surgeon who specializes in rhinoplasty and alarplasty.  I hope that this helps!-David Gilpin

William Portuese, MD · Answer

An alar-plasty can be performed as part of a rhinoplasty, or as a standalone procedure after a previous rhinoplasty. The procedure is performed when the nostrils are excessively wide and patient's desire to narrow the nostrils themselves. This procedure can be performed under local anesthesia which takes approximately  30 minutes. For more information  And  many before-and-after rhinoplasty examples, please see the video below

Is alarplasty surgery not recommended or done by surgeons anymore due to scarring and end results?

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Is alarplasty surgery not recommended or done by surgeons anymore due to scarring and end results?

Answers (3)

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Recommended reading

Everything you need to know about Alarplasty

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