What would be the best method for alar base reduction? Wedge excision, or Sill excision? (Photo)

Question

James C. Marotta, MD · Answer

The Ala or Nostrils can be reduced in the size, the amount of flare, or both depending upon the configuration and overall size of the nostrils.   The kind of reduction is determined by the surgeon's design of the excision.  From your pictures it appears you need both size and flare reduction.   This is usually done in combination with a rhinoplasty but can be done as a stand alone procedure under local anesthetic for patients who are just unhappy with their nostril shape or size alone.

Reza Momeni, MD, FACS · Answer

Both methods are perfectly appropriate for the right problem. It is not that one is better than the other, but the important question is what does the patient need. If the patient is only trying to make the base narrow  and reduce the width of the nostrils, then a sill excision will suffice. If the patient is also trying to reduce the size of the ala   themselves, then a wedge excision  maybe more appropriate.

Steven Wallach, MD · Answer

The technique chosen for the alar base really depends upon what your goals are.  Variations treat the sill or base or both.

William Portuese, MD · Answer

An alar plasty is performed to narrow wide nostrils by placing an incision along the nasal sill and removing a wedge of skin and closing the incision which narrows the nostrils

Remus Repta, MD · Answer

An alarplasty can be used to accomplish several changes with respect to the size and shape of the nostrils as well as the overall width of the nose.  How the alarplasty is designed will determine what exact changes are seen.  All the best,Dr. Remus Repta

What would be the best method for alar base reduction? Wedge excision, or Sill excision? (Photo)

Answers (6)

Answer: alar plasty candidate

Answer: alar plasty candidate

Answer: Alarplasty

Answer: Alarplasty

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Everything you need to know about Alarplasty

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What would be the best method for alar base reduction? Wedge excision, or Sill excision? (Photo)

Answers (6)

Answer: alar plasty candidate

Answer: alar plasty candidate

Answer: Alarplasty

Answer: Alarplasty

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Recommended reading

Everything you need to know about Alarplasty

Our mission is to create a world where every investment in modern beauty is Worth It.