Will a rhinoplasty correct my nostrils? They are too wide when I smile

Question

My main concern about my nose is that my nostrils are too wide when I smile. I think it only be fixed with surgery correct? Can filler do the work somehow? Do you think I can do simply nostril reduction? (Maybe it would look weird? I am trying to go the least risky route). what is a better type of surgery? With Diced rib or solid rib? Why? Also why does my profile look so different from right to left? I think my right profile (face looking to the right) looks better.

Caner Kacmaz, MD · Answer

Thank you for your question and photo. You are a great Candidate for Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

Edwin F. Williams, III, MD · Answer

A rhinoplasty surgery typically does not significantly address the nostril size, however changes in projection and rotation can have some effect. An alar base reduction is an option as well, however it is difficult to tell if you would benefit from this as it requires a thorough facial analysis, particular with attention to your eyes. I would recommend that you seek consultation with a board-certified facial plastic surgeon to discuss your surgical options and develop a surgical plan. Best of luck!

Stephen J. Pincus, MD · Answer

There are several ways of narrowing nostrils. And two of them do not involve cutting out any tissue. You can have the nose degloved off its bony attachments and the nostrils will shrink in. Another way is to use a cinching suture. Many times we use a combination.

Michael Kulick, MD, DDS · Answer

Yes you can have the width of your nose. This will address your main question. The incisions are hidden at the base of your nose. You other suggestions would not reduce the width of your nose. You should seek out face to face consultations to allow you to see results of this procedure.
Sincerely,
Dr. K 
San Francisco, Ca

Ronald J. Edelson, MD · Answer

Narrowing the nostrils is common in ethnic rhinoplasty. This is accomplished by cutting out a segment of the nostril and is called alar wedge resection. Many examples on the internet and an excellent procedure in the right person.

Will a rhinoplasty correct my nostrils? They are too wide when I smile

Answers (10)

Answer: Rhinoplasty - alar base

Answer: Rhinoplasty - alar base

Answer: Narrowing the nostrils

Answer: Narrowing the nostrils

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Everything you need to know about Rhinoplasty

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Will a rhinoplasty correct my nostrils? They are too wide when I smile

Answers (10)

Answer: Rhinoplasty - alar base

Answer: Rhinoplasty - alar base

Answer: Narrowing the nostrils

Answer: Narrowing the nostrils

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.