Is this any different to a nostril reduction and/or alar base reduction? (Photo)

Question

I got a digital "after" picture from a plastic surgeon that I love because of the scoop/dip angle, but the change is not the radical/aggressive change I am looking for, so in the third picture all I did was make my nostril shorter and bring the skin surrounding the nostril that attaches to the face forward and up slightly. The surgeon I am considering wrote that this is not possible, but I am wondering if what they really mean is that it is simply beyond their ability?

Sam Naficy, MD, FACS · Answer

There is a difference between the two.Although alar base reduction does result in nostril size reduction (not always, depending on where the incisions are made), nostril size reduction is possible through internal techniques without the need for alar base reduction.The example in the case below has shorter, more aesthetically pleasing nostrils, without alar base reduction being performed

Tom D. Wang, MD, FACS · Answer

Alar base reduction can be designed to reduce the internal and/or the external size of the nostrils.  It is important to balance the reduction to match the overall nasal profile and maintain symmetry.

William Portuese, MD · Answer

The photographs demonstrate an overly projecting nose and wide nostrils. To narrow  wide nostrils, an alar plasty is performed with the incision placed either inside the  floor of the nose or right at the Alar junction, depending upon the amount of width present. It is impossible to shorten the nostrils vertically without de-projecting the  nose with a full rhinoplasty procedure. For many examples, please see the link below

Darryl J. Blinski, MD · Answer

Very hard to offer a guarantee on results, especially with computer generated images. The actual results are NEVER the equal to the computer ones! You need a dose of "Realistic  Expectation" and to find and trust a PS of your liking..

Jason Litner, MD · Answer

Hi,The terms nostril reduction and alar base reduction refer to the same procedure. What a nostril reduction can do is to narrow the base of the nostrils (reduce width) and decrease the amount of rounding that the nostril appears to have (reduce flare). Nostril reduction cannot change the vertical position of your nostril attachment- that is, it cannot move up or down where your nostril attaches to your cheek skin. There are multiple techniques available for nostril reduction and some may be more preferable in each individual case. You can read our article on nostril reduction in our blog post for more details.

Is this any different to a nostril reduction and/or alar base reduction? (Photo)

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