Would the Alar Base Reduction alone help shrink my nose? (Photos)

Question

I'm a 29 year old female. My nose is too meaty and the alar base too wide. I want it to look smaller/narrower. What can I do, please?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from an alar base reduction. The most important aspect is
to find a surgeon you are comfortable with. With good surgical technique, you
could have an outstanding result. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Benjamin C. Paul, MD · Answer

An isolated alar base reduction is good when the base is wide or there is excess flare and the tip is small.  An isolated alar base reduction will change the proportion of your nose. The base will be smaller and more narrow, but the tip will not change. This may make the nose look abnormal if the tip is large. In your case, consider having tipwork and alar base reduction together.

William B. Rosenblatt, MD · Answer

You need more than an alar base reduction. You have blocked a lot of your face, so an in person exam is needed, but it looks like at least the tip should be reduced too.

Steven Wallach, MD · Answer

An alar base reduction can reduce the flare and width of the nasal base. It does not thin the nasal tip.

Luis Pavajeau, MD · Answer

Alar base reduction is just  part of  a Nose  job, but  for a normal  appearence  most nosejobs need a bone narrowing fracture or bone reduction as  well.  And  many times  a tip reduction.  I  always  insist on pre op planing either with a 3D imaging software or  at least a 2D . with that tool  the  patient can see how the  nose  changes as each part is  treated.

Would the Alar Base Reduction alone help shrink my nose? (Photos)

Answers (5)

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