I have a real problem with my nostrils flaring when I'm talking. Is there a procedure to fix this?

This is one of the fabulous easy fixes that can be performed with Botox. The muscle that dilates the nostrils can be "turned off" by using Botox. I describe the procedure for professionals in my textbook: "Cosmetic Injection Techniques." A well-trained facial plastic surgeon or dermatologist should be able to perform this for you very easily. If you just pay for the units of product, it should not cost a lot either. The benefit over time is that you may get out of the habit of dilating your nostrils when you speak and not need continued treatments.

Hello! If your nostrils only flare with talking you have a dynamic problem. If the nostril width is appropriate when you are NOT talking, alar base reduction may inappropriately narrow your nostrils. Of course, an evaluation by an experienced rhinoplasty surgeon is crucial, but Botox or stiffening the sidewalls with a small cartilage graft (alar rim graft) may improve your complaint. Good luck!

Yes. Alar base reduction with or without tip refinement may be appropriate, but an exam or pictures would be helpful for evaluation.Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions 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