Would a tiplasty + alarplasty suffice to make my nose more narrow and my tip sharper? (Photos)

Question

My goal is to narrow down my nose and make the tip sharper, and nose overall more balanced but I feel that with alar plasty only, my nose will look quite pinched because of my bulbous tip. Therefore I'm considering both these operations. I've met up with a surgeon for consultation and he recommended alar plasty but he said not much can be done to my tip since i have quite thick skin. Perhaps if there is a lot to fix for my nose, maybe I should consider rhinoplasty as well. I don't want any bridge work to be done since I'm fine with the bridge, just want to fix my bottom third of my nose.however I'm also not sure if that will require bridge work to properly fix my bottom third. Just looking for a second opinion here. Thank you for your time.

Tanveer Janjua, MD · Answer

For a lot of Asian patients they only need a tip plasty and alarplasty. Both can be done together to achieve your objectives. You do not need anything radical. 
You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined.
Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty.
 Both of these can be done under local anethesia.
Watch the video link below.
Regards
Dr. Janjua

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Make sure you are going to a surgeon with hundreds of long-term before and after pictures on their website with standardized lighting and standardized backgrounds. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Would a tiplasty + alarplasty suffice to make my nose more narrow and my tip sharper? (Photos)

Answers (2)

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