I was thinking of getting an alarplasty but I was concerned that it could result in a flattening and distortion of the nose?

Question

How would a doctor prevent a flattening of the nose in the alarplasty operation? What technique (s) would they employ to achieve this? Attempting to hide the incision in the nasal facial groove can apparently result in a flattening and distortion of the nose -- something that I obviously don't want.

Jeremy Hunt, MBBS, FRACS · Answer

Hi,An alar base resection or alarplasty is designed to narrow the alar base. if in the process it flattens the nose, the solution is to increase the projection of the nose simultaneously and this may need something along the lines of a columnar strut.The key to rhinoplasty is that it is a three dimensional procedure so one effect may produce a result that needs to be compensated for. For this reason alar base resection may need to considered as part of a rhinoplasty and not just a stand alone procedureI hope that helpsJeremy Hunt

Jay Calvert, MD, FACS · Answer

Alar reductions are a great way to narrow the base of the nose and change the alar flair.  this makes a difference in the way a nose looks and can be the key to a superior result.  However, in order to make the change without distorting the nostrils and causing flattening of the natural architecture, the cuts must be kept toward the nasal sill as opposed to out on the nostril and face.  BTW, this is not what is written in the text books!

Enriquillo Clime Rivera, MD - Account Suspended · Answer

Hello and thank you for your question!There are different techniques to get this procedure done. You need to understand that measures will be taken to make sure that your nose has the right projection. Using a Spirograph, we will help you get a more projected nose.Please post or send us some photos so we can better evaluate your case and give you a better response.Thank you for the question and please consult a board certified surgeon for the safest and best results.Good luck!

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