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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.
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.
The technique chosen for the alar base really depends upon what your goals are. Variations treat the sill or base or both.
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
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
To reduce the flare and make the nostrils more vertical, a Type III WEIR excision is usually used.You can research this term online
These terms are very similar and often times used interchangeably. A base reduction involves narrowing the width of the base of the nose and moving the alar sides inward. This is often times done along with alar plasty to reduce the length of the alar rim to maintain good nasal proportion a...
Thanks for your question. It is too early to judge the results of your procedure. Swelling can be contributing to the asymmetry you see. I suggest waiting at least 5 more months before being concerned.All the best,Dr. ResultsMiami, FL
Hi and thanks for your question. It's difficult to quote an exact cost for a procedure without an examination and review of your photos. If alarplasty is the only procedure indicated, then it can usually be performed in the office under local anesthesia. Please see a surgeon who is certified by...
