I'm caucasian, white female who has very wide nostrils. I usually see nose jobs with people that have a hump. I don't have that at all. My problem is I have a very big nose and have extremely wide nostrils that really spread across my face when I smile. It really is hideous. I never hear about narrowing of the nostrils.My surgeon wants to narrow them by cutting at the side of each nostril and then closing it up in the natural seam of the nose. I am worried about scarring. He claims the scarring will be minimal and I can use cover up.
February 6, 2010
Answer: Your nostrils may be narrowed with Rhinoplasty Surgery. The computer-imaging you provide seems to be a realistic expectation after Rhinoplasty Surgery. You see narrowing of your nostrils and tip, along with correction of your tip asymmetry that is causing your lower nose to drift to your left. Your nostrils are not terribly wide, and I do not like to place any scars in the "natural seam of the nose" (nice description). Although these external scars may heal well, they may be unsightly and require subsequent dermabrasion. I like to keep the nostril-narrowing scar well concealed in the base of your nose (nasal sill). I hope this is helpful for you.
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February 6, 2010
Answer: Your nostrils may be narrowed with Rhinoplasty Surgery. The computer-imaging you provide seems to be a realistic expectation after Rhinoplasty Surgery. You see narrowing of your nostrils and tip, along with correction of your tip asymmetry that is causing your lower nose to drift to your left. Your nostrils are not terribly wide, and I do not like to place any scars in the "natural seam of the nose" (nice description). Although these external scars may heal well, they may be unsightly and require subsequent dermabrasion. I like to keep the nostril-narrowing scar well concealed in the base of your nose (nasal sill). I hope this is helpful for you.
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February 5, 2010
Answer: Reduction of wide or large nostrils, but not in isolation. The type of alar base reduction your surgeon is describing is quite appropriate for narrowing the nostrils and when done with meticulous technique, the scars should be a non-issue. I caution patients, however, that narrowing the nostrils can make the tip of the nose look wide or at least out of proportion. It's important to adjust not just the nasal base, but also a corresponding amount of nasal tip and bridge to achieve a pleasing appearance. Computer imaging pre-op can demonstrate this effect and help patients (and surgeons!) visualize the intended result. Keep in mind, though, that spreading of the nose when smiling is normal and is not really correctable with rhinoplasty (at least not if a natural appearance is desired). All the best, --DCP
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February 5, 2010
Answer: Reduction of wide or large nostrils, but not in isolation. The type of alar base reduction your surgeon is describing is quite appropriate for narrowing the nostrils and when done with meticulous technique, the scars should be a non-issue. I caution patients, however, that narrowing the nostrils can make the tip of the nose look wide or at least out of proportion. It's important to adjust not just the nasal base, but also a corresponding amount of nasal tip and bridge to achieve a pleasing appearance. Computer imaging pre-op can demonstrate this effect and help patients (and surgeons!) visualize the intended result. Keep in mind, though, that spreading of the nose when smiling is normal and is not really correctable with rhinoplasty (at least not if a natural appearance is desired). All the best, --DCP
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