Alar base reduction without any visible scars? (photos)

Question

Hi, i’m interested only in doing an alar base reduction to my nose, as i’m pretty happy with my nose shape. However i’m concern on the visible scars that i will have on my nose after the alar base reduction. Is there any technique of alar base reduction that will not leave any scars? Thank you.

Jonathan Kulbersh, MD · Answer

Thank you for your question. Rhinoplasty can be performed using a closed technique (all incisions inside the nose) or an open technique (single external incision). The incision used for open rhinoplasty is a single cut underneath the nose on the columella between the nostrils. The scarring left behind from this incision is virtually undetectable when performed by an experienced, board-certified plastic surgeon. It is likely you would require an open rhinoplasty to achieve the goals you have stated. Good luck!

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,Thank you for your question. Since a nose is a 3 dimensional structure while reshaping the nose, all nasal structures and whole face proportions should be taken into consideration. Therefore when alar base reduction is done the tip should be harmonized with the dorsum and the airway deterioration should be avoided. In right hands the external incisions on the groove of the alas doesn't cause scarring. The proper care and usage of certain medication will help heal easily.  
Comparing to the open rhinoplasty Closed and Atraumatic technique in Rhinoplasty minimizes swelling and bruises; maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please click on the attached link.
  
Best Regards

Gary Linkov, MD · Answer

Hi and thank you for your question and photos. The technique used for alar base reduction leaves very minimal scarring. I would suggest you seek out the care of a board certified surgeon with extensive experience in rhinoplasty. Find someone you connect with, who will listen to your concerns and provide you with a framework for what is possible.
Best,
Gary Linkov, MD
Rhinoplasty Specialist
Manhattan

Thomas Trevisani, MD · Answer

Once you have the alar base reduced - it will change all of the other relationships in your nose. Without addressing all of the elements of your nose- the aura base by itself will create a very unacceptable appearance.

Zoran Potparic, MD · Answer

It is possible to make small reduction in nose base width without creating visible external scar. This can be achieved using sutures placed from the nose columella toward alla and back, to bring alla(s) closer and decrease overall nasal width. However, in same patients small skin excision inside the nose to remove extra skin and avoid bulging may be needed. In person consultation about this procedure as well as other possibilities to improve appearance of you nose, with an experienced board certified plastic surgeon, expert in rhinoplasty, is recommended. Good luck.

Paul N. Afrooz, MD · Answer

It is possible to do an alar base reduction with incisions placed inside the nose such that they are not visible.  However, there are some limitations to the amount of reduction with this technique.  Also, while there is always the risk of scarring in some individuals, a well-performed alar base reduction should leave you with a very inconspicuous scar that would be virtually unnoticed.  This type of procedure requires the finest attention to detail, and it is very important that you seek the expertise of a rhinoplasty specialist.

Alar base reduction without any visible scars? (photos)

Answers (6)

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