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Did my Rhinoplasty and my 2nd alar base reduction go bad? Should I do another Rhinoplasty?

Pascale22May 22, 2014
I removed the bone on my nose last year. 2 days ago I did an alar base reduction, my surgeon did cut sides from my nostrils and he did sew them again on same place, he didn't make them closer to each other and now my nose looks wider than before, my surgeon didn't make them closer bcz he said I wont breath good if he do so :(( I know I still have swelling but I can see my wide nostrils I don't think they will shrink. Im crying since Ive seen my nose and Im very depressed pls help

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Dr. Nima Shemirani, MD
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Answered on May 26, 2014
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Dr. Robert Mounsey, MD
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Kenneth Hughes, MD

  You reduced the nostrils, which is possible with an alar base reduction.  You also reduced the bulbous nature of the tip, which can only be improved with a tip plasty.  This can be done in closed fashion at the same time as the alar base reduction.Kenneth Hughes, MDLos Angeles, CA

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William Portuese, MD

2 mm of alar base reduction on each side we'll not give an appreciable improvement in the wide nostrils. 3-4 mm would be more appropriate since there is a small amount of skin stretch back. 

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Shervin Naderi, MD, FACS

Hi,Unfortunately a significant portion of surgeons offering rhinoplasty may be great at facelifts or breast augmentation but do not do enough noses to understand the nuances or they may do plenty but not with finesse or understanding of current literature and trends.  I think you have not...

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Robert Glasgold, MD, FACS

It is important to ask the surgeon who operated on you as many surgeons will have different preferences.  In patients I perform just alar base reduction on, they can shower the day after surgery and have no restrictions on eating, talking or any facial movement.  My only restriction is...

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Al Farabi L. Jaafar, MD

I would wait for her to reach adulthood and sign her own consent. The face also develops and changes in form and shape as the child grows. A simple trim or alar base reduction may not suffice as this procedure will further pull down the nose tip. For a better outcome, the choice should be...

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Kenneth Hughes, MD

I think the alar base reduction is reasonable. I am not sure I would change anything else.  Kenneth Hughes, MDLos Angeles, CA

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