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Can the height of the alar be reduced? (Photo)

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Miss MannSep 15, 2023

I know it is common practise to reduce the width of the alar in rhinoplasty but is it also possible to reduce the height of the alar if height is the issue?

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Dr. Jeffrey H. Spiegel, MD
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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
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Answered on Sep 19, 2023
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Dr. Tanveer Janjua, MD
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Dr. Tanveer Janjua, MD
Board Certified Facial Plastic Surgeon
4.8 | 275 Reviews
Answered on Sep 19, 2023
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Tanveer Janjua, MD

The reduction you achieved is adequate although subtle. It seems that you did not have very wide nostrils to begin with. It is always better to be conservative with alarplasty. Give it at least a whole year and then decide if you want any further reduction. Regards Dr. J

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Andrew Miller, MD

Based on the photos, you are a great candidate for rhinoplasty. The tip can be worked on primarily to make it thinner. Your skin does appear a bit thick so you have to be realistic in your expectations, but you can have a nice improvement. Be sure to see a rhinoplasty specialist for consultation.

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Tanveer Janjua, MD

Alarplasty revisions are not easy. Sometimes the result can be worst then where you started. It should only be done if the likelihood of improvement is significant. Also, you have thick sebaceous skin and that is not good for alarplasty healing. Get a few consults but do not rush into a...

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Ronald J. Edelson, MD

In addition to flared nostrils you have a hanging columella. Both are simple to correct at the same time by a limited rhinoplasty

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Eric M. Joseph, MD

The areas that are circled in the photos represent the posterior portion of your lower lateral tip cartilages. If this area is widening with smiling, it is possible to narrow this area with rhinoplasty surgery. I'm not sure if this answers your question, so consider meeting with several...

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Stephen J. Pincus, MD

Looking at your photos seems to give the faint suggest of a subnasal scar, as one would have from a liplift procedure. If this is the case, that would explain any difference because of the amount of skin lifted into the nasal base. In any event, the difference between the two sides can be corrected.

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