Alar reduction techniques to retain curvature?

Question

I have seen alar reduction look awful, the procedure leaves patients unnatural looking as their alars look flat and have lost curvature. Is there any technique that is superior to other to retain curvature of the alar ? My nostrils =small flare when I smile to be big. I am afraid If I get a rhinoplasty and reduce the bridge and tip then my nostrils will become too pronounced. Alarplasty is option but I do not want to lose the curvature of my alars!

Eric M. Joseph, MD · Answer

To avoid Stigmata of previous alarplasty, it's best to leave all scars at the nasal base. When considering nostril narrowing surgery, if the scars are left externally, this can be quite distracting. Thank you for your question. Sincerely, Dr Joseph

Ramin Behmand, MD, FACS · Answer

You are correct in your observation.  The resection of the curved portion of the alar base results in an unnatural angle of the alar base attaching to the upper lip area.  The curvature of the alar base should never be resected, and fortunately, it is uncommon to see that performed as such. Rather, the base is narrowed past the curvature, as to preserve the natural appearance.

Dr. B.

Oakley Smith, MD, FRCSC · Answer

It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery 
process.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. There are many maneuvers which can be performed in order to prevent notching after alar base Reduction including extended alar contour grafts, among other maneuvers. The best advice would really be with a full evaluation of your nasal anatomy.   I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Ronald J. Edelson, MD · Answer

The quality of alarwedge results is dependent on who your surgeon is more than any other factor. So when you go on a consult ask to see photos

Alar reduction techniques to retain curvature?

Answers (8)

Answer: Rhinoplasty and alar base reduction

Answer: Rhinoplasty and alar base reduction

Answer: Alar wedge

Answer: Alar wedge

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Everything you need to know about Rhinoplasty

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

Alar reduction techniques to retain curvature?

Answers (8)

Answer: Rhinoplasty and alar base reduction

Answer: Rhinoplasty and alar base reduction

Answer: Alar wedge

Answer: Alar wedge

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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.