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Can revision alarplasty correct excess width without causing alar retraction? (Photos)

Hi! I underwent a rhinoplasty and alarplasty ~8 months ago however, I am concerned about residual nostril width and some asymmetry especially when I smile. I am now considering a revision alarplasty but I am concerned of it causing my nostrils to retract. I plan to discuss with my surgeon but I would like to gather opinions from other professionals as well. The first image is my nose before, the second is after with a neutral expression, and the third is after while smiling. Thanks!

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Dr. Donald B. Yoo, MD, FACS
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Dr. Donald B. Yoo, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Aug 14, 2026
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More Alarplasty Questions

Is there a procedure that will lower the alae wings? (Photo)

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Donald B. Yoo, MD, FACS

A few rhinoplasty techniques would lower the rims of the nostrils, and two of the most effective are alar rim grafts and composite grafts. These would lower the nostrils so that there is not as much visibility from the side.

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Am i a good candidate for alarplasty to reduce the width of my nostrils? (Photos)

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Donald B. Yoo, MD, FACS

A view of your nose from the base view would be necessary to accurately assess your candidacy for alarplasty in isolation. Sometimes when you narrow the width and flare of the nostrils without reshaping the tip, the tip can end up looking wider and more bulbous in proportion.

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Would I be a candidate for the surgery to close my nostrils slightly to hide the cut in my nasal sill?

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Donald B. Yoo, MD, FACS

The amount of narrowing you're demonstrating with the Q-tip is probably not achievable surgically. There are options to reduce the visibility of the sill incision, which may include scar resurfacing procedures in addition to revising the alarplasty/lip lift scar.

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Alarplasty after a lip lift - will it correct my nostrils and scarring? (Photos)

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Tanveer Janjua, MD

It is extremely difficult to correct the scars of lip lift, if not impossible. Alarplasty and rim graft on your right side can help. However, the results are not amazing. It is best to leave it alone as mild asymmetry is not easily noticeable and surgery can make the problem worst at times. Your...

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Is alarplasty semi-permanent?

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Mark Beaty, MD

Alarplasty is considered a permanent procedure. The changes made to the nostril base involve removing and reshaping tissue, which does not “grow back” over time. While it’s true that the face naturally changes with aging, and factors like weight fluctuations can subtly affect soft tissue, signi...

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Skin Changing - What's happening with one side of my nose? (Photos)

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Tanveer Janjua, MD

With acne rosacea the nasal sebaceous glands can become enlarged and effect the shape and the color of the skin as well. There is no intervention such as alarplasty that will help at present. Continue to work with a dermatologist to keep rosacea under control. Regards Dr Janjua

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