Looking for alar base reduction specialist in CA.

Question

I would like to have an alar base reduction. I am happy with my profile but feel my nose and nostrils are too wide. How do I find a surgeon that specializes in alar base reduction as well as asian noses in CA? I seem to get conflicting information- some doctors say one can just do an alar base reduction while others state that likely things like the tip need to be worked on during a reduction. Could you please help?

Toby Mayer, MD · Answer

Alar base reduction only?  When you change the alar width you may have the remaining nose look to wider. Therefore you should see a very experienced surgeon who can give you the answer. Without photographs or examination I cannot give you any more information

Chase Lay, MD · Answer

It's a little difficult to comment on your needs without photograph but in general alar plasty or alar base reduction as a standalone procedure can be performed with a high degree of satisfaction without tip rhinoplasty. However, there are certainly times when I feel both must be performed together. Obviously, you can imagine if the alar base or with of the nose is produced then the tip by proportion  may start to look larger.  There's often no perfect answer but in my practice which is majority Asian facial plastics I perform Alar plasty or alar base reduction all the time.  Patients are satisfied with the results they get with the reduction alone but a significant number do you need both tip rhinoplasty  and alar base reduction.I think it is fair to say that often you can have the alar plasty or alar base reduction by itself and later if tip rhinoplasty is needed then you can move on with the additional procedure.Chase Lay MDAsian facial plastic specialist and double

Michael M. Kim, MD · Answer

Hello Anna,Rather than look for an alar base reduction specialist, I think that it is more important to find an experienced rhinoplasty surgeon. Within the Bay Area, I would trust my colleagues and friends Dr. David Kim (downtown SF), and Dr. Sam Most (Palo Alto). Both are excellent surgeons with high volume rhinoplasty practices.Good luck,Michael Kim, MD

Brian J. Reagan, MD · Answer

Plastic Surgeons, Facial Plastic Surgeons, ENT Surgeons, and Oral-Maxillofacial Surgeons all have training in Rhinoplasty.  A true expert is a surgeon who has a focus on rhinoplasty and has performed many cases (more than 100). Its hard to comment on your needs without  photos.  I have rarely performed just alae reduction/nostril reduction, but I suppose it could be possible.  Seek a few opinions.All the Best,Dr. Brian Reagan

William Portuese, MD · Answer

There is no such thing as an alar base reduction specialist. Look for a very busy rhinoplasty surgeon who has dedicated a significant part of their practice to the discipline of rhinoplasty. All busy rhinoplasty surgeons perform lots of the alar base reductions.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Alar base reduction can be indicated when considering a wide alar base. The more recent technique involves taking a small wedge excision on the inside of your alar rim. The positioning of the wedge excision is very important and is determined by your asymmetry and desired look. A consultation would be very helpful to give you more detail.

Dennis Barek, MD (retired) · Answer

Sorry there is no such thing as an alar base specialist. However there are differences in all  noses ethnic or not, that require an alar base resection. Sometimes an isolated alar base resection requires more than an alar base procedure. Some rhinoplasty specialists get few Asian noses. I would look for someone who is Board Certified in Plasatic Surgery or ENT and who has a significant Asian population of patients. Consult the them and see their work or get a referral from a happy patient.

Fred Suess, MD (retired) · Answer

An experienced Plastic Surgeon who has performed at least 100 Rhinoplasty procedures will have the skills to performs whatever Ala base surgery you are looking for.

Richard W. Fleming, MD (retired) · Answer

Sometimes an alar base reduction is all that is needed but other patients should also have a narrowing of the tip. I need to see pictures of your nose to make specific recommendations for you but any experienced rhinoplasty specialist can individualize the procedure to provide a natural result.

Looking for alar base reduction specialist in CA.

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