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Alar base reduction pros and cons in revision rhinoplasty? Can an ethnic nose be narrowed without it?

irsi
I plan on having a 3rd revision rhinoplasty to remove an implant & excess bulky scar tissue in the tip. A surgeon suggested alar base reductions to narrow a bulbous, heavy tip. What are the drawbacks for this in thick skin? I have rounded features & am worried about anything that will lead to what I hope to undo w/surgery 3--a bulky, unnaturally overprojected tip. What are the dangers of alar base reduction, other than keloid scarring? Can is lead to nasal collapse or pinching?

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Dr. George Bitar, MD
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Dr. Oleh Slupchynskyj, MD, FACS (retired)
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