Alarplasty or Tip Plasty? (photo)

Question

Good day! Hi Doctors, I am thinking to have rhinoplasty but im not quite sure about the best procedure. I feel ok on my nose bridge. My concern is about the tip of my nose, my allar is also thick. and i don't like to use foreign material is that possible? thank you ^_^

Kenneth Hughes, MD · Answer

Refinement of the tip will make the most significant change in your nose. Alar base reduction can be contemplated but will have to be conservative. Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

William Portuese, MD · Answer

A rhinoplasty can narrow the tip with suturing techniques of the lower lateral cartilages to refine and narrow the tip. A cartilaginous strut graft may be required as well. No synthetic implants would be required. A very conservative alar-plasty can also be performed.

Richard W. Fleming, MD (retired) · Answer

As best I can tell after reviewing your pictures an alarplasty with narrowing the base of your nose will not be necessary. I would narrow your tip by changing the contour of your tip cartilages and probably use cartilage grafts because weak cartilage are common in in people with your ethnic background. I have avoided the use of synthetic materials such as silicone for over 35 years.

Alarplasty or Tip Plasty? (photo)

Answers (3)

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