Are my Alae Still Swollen After 7 Months Post Op? (photo)

Unlike standard rhinoplasty, alar base reduction is associated with swelling that resolved more quickly.  By now (assuming you only had alar base reduction and not anything else), your swelling should have resolved.  It is unlikely that the tip itself changed, but whenever one area of the nose is altered it can create an optical effect on neighboring areas.  For example, if the ala are narrowed and the tip width is left alone, by comparison it can make the tip appear wider.  I would discuss this with your primary surgeon. 

It is hard to comment without additional views and without knowing the actual procedure that was done.  There are many variations of alar base surgery.

The tip will not likely undergo much change with alar base surgery alone.

There are some positive changes that I can see in your before and after.  I would return to your plastic surgeon and see if further refinement could be made if you are still unhappy.

 

Your ala will  change very little. This is why I caution people against computer imaging. Noses heal differently than computers. When u change the ala it will have affect the tip. See a revision rhinoplasty surgeon for the best result.