Would a cartilage graft be required to achieve a successful tip plasty and alarplasty? (photos)

Hi Aquarian5,

Give you like the height and shape of your bridge and dorsum, the tip should remain at a similar projection to what you currently have. In this situation, a small amount of additional tip support should be sufficient to increase the definition in the tip of your nose; often the additional support may be obtained from cartilage already within your nose in the form of septal cartilage. Using septal cartilage the tip could be supported and refined while the width and flare of your nostrils is reduced with alar base reduction.

Yes, both Tip-plasty and Alarplasty can achieve the narrowing without any need for grafting,
You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined.
Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty.
Both of these can be done under local anethesia.
Watch the video link below.
Regards
Dr. J