Can 2 mm reduction of nasal sill result in a 3-4 mm reduction in nose widening when smiling?

Intrinsic skin elasticity and the dynamic interactions of the dilator naris with the skin envelope will affect ultimate width reduction after alarplasty more than simply the skin thickness.

The nose pictured is a good candidate for alarplasty with combined nasal sill and Weir incisions. The proportions of the nostril width and tip width is important for the surgeon to consider when designing the incisions.

Based on the proportions of your ala and tip, you're not a great candidate for alarplasty alone. The nostrils would likely lose their natural curvature and would actually result in the tip looking less defined, not more. A minor revision rhinoplasty could enhance the aesthetic of your nasal tip...

The truth is a combination of external and internal incisions will create the most significant narrowing and reduction of flare. Paramount to success is preserving a natural amount of curvature so that the nostrils don't appear "pinched" or "stuck on" while balancing the width of the nasal tip.

It is not possible to make a clinical recommendation based upon a single photo of the base of your nose. I can see that your nostrils appear to flare somewhat. To determine if alarplasty would be right for you, please consider meeting with several reputable rhinoplasty specialists. Thank you for...

The nose may widen when you smile because the tip doesn't have good support. This can be corrected along with the bulbosity in a tip plasty. The ala should be considered in relation to the tip at rest. If they are flared without smiling, then alarplasty can be done at the same time. Be sure to...