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In most cases Alarplasty is sufficient to achieve the appearance of a narrow nasal base or bottom half. However, some patients have bulbous or wide tip as well. In those cases you need both done. Based on your photos it is best to do both. RegardsDr. J
Alarplasty would not give quite the change you are showing. However you are a good candidate for the procedure. I recommend multiple consults bearing in mind that many surgeons don’t do them.
What does an alar plasty do? an alar plasty alone, only reduces the width of the base of the nostrils. Your tip looks fine to me but if you need more definition of your tip then a nasal tip plasty could be combined with an alar plasty. The nostrils should not be narrowed as much as you are showing in your simulated “after“ or you will not be able to breathe through your nose.
Filler or surgery for tear trough and wide nostrils: Filler is the usual treatment used for deep tear troughs. You appear to have wide nostrils. the solution for wide nostrils is an alar plasty.
A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. Alar base modification is an effective way to reduce the flare and/or width of the nostrils. Excess width can be reduced with sill incisions, excess flare with Weir incisions, and excess flare +...
Every time you bring the nostrils in to reduce flaring, you make the tip appear slightly more prominent! So it has to be done with that in mind. In your particular case, you would be best served with a tip graft to increase the tip projection and produce tip narrowing. That would allow for alar...
