Can an alar base reduction be performed without changing the shape of the nostrils? (Photo)

Question

Can an alar base reduction be performed without changing the shape of the nostrils? My nostrils are triangular(almost heart shaped) I don’t want to change the shape of my nostrils but I would like the width of my actual nose to be brought in slightly...is there anyway for this to be done without changing the shape of my nostrils dramatically but preferably at all?

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question its difficult evaluate you if the case with this angle of the  picture, my recommendation is get  a consultation in person with a plastic surgeon to discuss all about theme

A. Joshua Zimm, MD · Answer

The answer is it depends on exactly what is necessary in performing an alar base reduction (i.e. is it to narrow the inter-alar distance, reduce nostril flare,  nostril size, or is it a combination)  Usually, there is some change in the shape of the nostrils, especially if tip work is done.  Best wishes.

Adam Bryce Weinfeld, MD · Answer

The purpose of an alarplasty is to narrow the nostrils, thereby changing the shape of the nostrils.  If you are interested in narrowing the overall width of the nose, you may benefit from a full rhinoplasty.  I recommend you schedule a consultation with a plastic surgeon for evaluation of your nose and facial balance for further recommendations.  Best of luck.

J. Phillip Garcia, MD, FACS · Answer

The purpose of the alarplasty is to narrow the nostrils so by definition it will change the shape of your nostrils.  The question is how much change do you request versus how much the surgeon believes you need and how you feel about that change.  Make sure you consult with a board certified facial plastic surgeon who understands proper nasal aesthetic balance. Best of luck.

Tanveer Janjua, MD · Answer

The shape of nostrils will always change when you do alarplasty. There is no way around it, unfortunately. However, it does not mean that the shape of the nostrils will look bad. RegardsDr. Janjua

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for the procedure. Each patient is unique, and demands a tailored surgical approach to achieve their desired outcome.
Best wishes,

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your
question. It is possible to perform an alar base reduction and not change the shape of the nostrils how you describe but a tip refining rhinoplasty would need to be performed at the same time in order to compensate for this movement in the alar base by changing the shape/length of the lower lateral cartilage.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Can an alar base reduction be performed without changing the shape of the nostrils? (Photo)

Answers (7)

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