Alar reduction techniques to retain curvature?

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

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.

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.

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

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

There are at least three ways allar resection may be performed. Selection of appropriate type of excision should be made based on the shape, size, bulk of the nostril and alla. In person consultation with a board certified plastic surgeon with good reputation in nose surgery is recommended. Good luck.

Dear stayroxy,
There are alar reduction techniques specific to 'deformity' being corrected. Some involve reduction of the base, some involve correction of flaring, and some involve a combination of both. It could be that those with "flat alars" that you are seeing have had the wrong technique performed for their particular problem. Find a surgeon who is American Board of Medical Specialties certified for a consultation. Good luck!

Everything is relative.
We can’t really begin to make an assessment based on the information provided.
There’s nothing wrong with doing alar surgery if it’s done correctly.
If you’re thinking about having rhinoplasty surgery, then I suggest trying to focus your efforts on provider selection, which in the end tends to be the most important variable.
As for the technical aspects of surgery, I suggest let the driver do the driving.
Best,
Mats Hagstrom MD