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Can an alarplasty or tip plasty be done under local anesthesia? Wide nose with no curves (photos)

bmh4796Oct 5, 2022
Hello I’m in my early 40’s AND am tired of contouring to make my nose appear more slim. There is no pinch at all. It’s just a wide nose with no curves. Problem: I had 5 ten pound babies over the years and breastfed all of them for 2 yrs each. Since I’m only 5’4” and 120lbs, I needed an umbilical hernia repair. I had that done in February along with the smallest implants on the market. So i really can’t spend too much on my nose/hoping I only need alar or tip plasty/ local anesthesia.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Oct 7, 2022
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David M. Kowalczyk, MD, MBA, FACS

Hi there! Making nostrils bigger after an alarplasty is difficult but not impossible. It often involves adding material back which was removed. This can be done via composite grafts from the ears. Getting the nostrils to look exactly the same as before is unlikely, but improvements can be made....

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Robert Ciardullo, MD

Can alar plasty change the length of long nostrils? when a person has a long over projecting tip with long nostrils, it is not the long nostrils making the tip long it is the long over projecting tip making the nostrils long. Simply doing an alar plasty will not reduce the projection of the tip....

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Stephen J. Pincus, MD

My approach to a conservative alarplasty usually involves a few steps. I do not do all of these in every patient, if I am convinced on examination that one would work. Having said that, the first step would be to consider freeing the soft tissue of the lower one half of the nose from its bony...

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