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You may be looking at a scar from an open rhinoplasty which makes an incision between the nostrils. However you can also use that incision to shorten the columella but cutting out a small segment of skin
Alarplasty can involve the side cuts but also reduction of the nasal sill between the nostrils. The sill reduction is what you are referring to. That helps with reducing the width.RegardsDr. Janjua
An alar-plasty involves removal of a small wedge of skin at the base of the nostril sill to reduce the nostrils themselves. This procedure can be done as a standalone procedure under local anesthesia, or as an integral part of a rhinoplasty procedure performed under general anesthesia
You could either go very conservative or have a full rhinoplasty. There are several things that could be addressed with your nose. The tip could be raised and refined and the nostrils narrowed which is what it sounds like you want. I would recommend you go in several consults and don’t be s...
It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. Also, it is...
Are you a candidate for Alar plasty? An alar plasty narrows the nostril base thereby narrowing the entire nostril. You might want to discuss with your surgeon performing a nasal tip plasty along with this, since it appears that you also have a somewhat bulbous nasal tip.
Good Afternoon! Alar base reduction can be very effective for narrowing the width of the nostrils. 5 mm of overall reduction (2.5 mm per side) is appropriate based on your pictures. If that was mentioned per side, I would be very cautious. The problem with narrowing the nostrils too much is it...
If only a small amount of skin is required to be removed to narrow the nostrils, then inside approach can accomplish your goals. If there's significantly wide nostrils, then an external incision is required. Either way it can be performed under local anesthesia as an outpatient procedure
The scar from a lip lift is well hidden as is an alar plasty. You need a physical exam to decide of these procedure will be right for you. Your smile may show too much of you gums with a lip lift. Good luck!
