Will I benefit from an alarplasty? Will an alarplasty flatten my tip? (photos)

Question

I recently started looking into alarplastys. I cannot afford a rhinoplasty at the moment, so i was deciding whether or not to go through with an alarplasty, and then a non surgical nose job. Would I benefit from an alarplasty? Will the procedure affect the tip? Will I be able to go through with a rhinoplasty, after an alarplasty, if I decide to at a later date? Thank you for the responses.

Dhaval M. Patel, MD · Answer

Thank you for your question and photos! I suggest you meet with a board certified plastic surgeon and discuss your concerns with a physical examination.  Best of luck!Dhaval PatelDouble Board Certified Plastic SurgeonChicago Hoffman EstatesOakbrookOrland Park

Deepak Raj Dugar, MD · Answer

Hi!
Thank you for your question and photographs.
The best option for you is to find a board certified facial plastic surgeon that dedicates his/her entire practice to Scarless Nose Rhinoplasty's. With a closed rhinoplasty you can achieve any look that you desire without the risk of a scar at the bottom of your nose. I recommend going to a Plastic Surgeon that specializes in Closed Scarless Rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time. Closed rhinoplasty enables you to have flash recovery with very minimal bruising if at all. You will only have to wear a cast for 5-7 days, no one will know you had anything done. All the incisions are made from inside the nose. The goal is to finesse and enhance the nose without drastic change. It still looks like it is your nose just more refined without looking fake. Meaningful refinement is the key!  All the same surgical maneuvers your nose requires can be performed with a skilled Closed Scarless surgeon. 
Best of luck, 
Dr. Deepak Dugar
Beverly Hills Rhinoplasty Center

Pejman Aflaki, MD · Answer

Hello and thank you for the question and sharing your photos. I believe you benefit from tip refinement and adding support to your nasal tip to improve your tip projection, as well as alar base reduction. Alar base reduction should not affect your nasal tip, however, there are other maneuvers performed in rhinoplasty that can result in de-projection of the nasal tip and therefore it is essential that your surgeon understands the intricacies of the rhinoplasty maneuvers and avoids problems down the road. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Thomas Trevisani, MD · Answer

Based on limited photos - it appears that you would benefit from a  Rhinoplasty - preferably performed through a closed technique - addressing all of the elements of the nose in order to achieve the best result- more feminine, more elegant nose. Rhinoplasty is a very challenging procedure and I highly recommend that you seek an extremely experienced, skilled and talented Surgeon. If the finances are an issue-  maybe it's worth saving and then get the best treatment for your condition with the most qualified Surgeon..?

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for
your question.  Although an exam in person is ideal, from your photographs
alone it appears that you can benefit from a tip rhinoplasty where the nasal
tip cartilage is modified for a more refined, feminine, look with an alar base resection.   If your septum is deviated and you have
breathing difficulty, a septoplasty may benefit you as well.   The next step for you is to find the
right aesthetic plastic surgeon.  In your rhinoplasty consultation, be
sure your surgeon addresses all your aesthetic goals and concerns specifically,
and discusses the surgery details including the position and size of the
incisions used (with actual photographs and not just digital animations), the
risks and benefits of the procedure, recovery time, and post-operative
course.  Also, be sure to see plenty of before-and-after pictures in women
who have a similar nose appearance to yours, and preferably at different time
frames (3 weeks out, 3 months out, etc) to more accurately predict your own
surgical outcome.
After seeking out a
board-certified plastic surgeon who specializes in aesthetic plastic surgery, I
think the most important component of the consultation is to establish a good
connection with your plastic surgeon.  It’s the connection that allows you
to clearly define your desired nose outcome goals, the first step of this whole
process. If you don’t feel you have a good connection with your plastic surgeon
after your consultation, he/she may not be the best surgeon for you.
For more information on
rhinoplasty, please refer to the link below.
Good luck.
Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic
Plastic Surgeon

Ronald J. Edelson, MD · Answer

You are a good candidate for alarplasty.  It can be done awake and is much less expensive than full rhinoplasty.  But your entire nose needs to be narrowed and I think it best to wail and do it all at once.  But  there’s nothing wrong with doing the alarplasty alone if you want.  Don’t waste money on non surgical nose jobs though.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty which can be performed by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from an alar base reduction.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. 
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Seckin Ulusoy, MD · Answer

Greetings;
Thanks for your nice question.I suggest for you not only alarplasty but also reprojection surgery. When we evaluate the basis of your photos the lower 1/3 of your nose is short (Deprojected nose ). In these cases, I perform reprojection ( for increase projection) surgery by releasing alar cartilage and supporting it with cartilage beneath, therefore achieved longer lower part of nose from side wiev (reprojection surgery). It will also be nice to increase your projection with cartilage transfer in order to increase your less prominent facial bones at the base of the nose, this maneuver will help make your mid face and nose base more pronounced and aesthetic . Along with tip refinement techniques and nasal base skin removal surgery (Alar base surgery) will  be complementary and aesthetically more beautiful for you. 
Moreover, If you have breathing problems, surgery for septum deviation or concha hypertrophy can be performed in the same session. 
Best wishes

Victor Manuel Agudelo, MD · Answer

Hello.
The purpose of an alarplasty is to reduce  the size of the nostrils and narrow the alar base. It will not have an effect on the tip. If you further decide to have a Rhinoplasty you can do so.

Jin Joong Kim, MD · Answer

Hello!
It is hard to tell from the picture you've uploaded if you need an alarplasty or not, but you should go for an in-office consultation to know for sure if you need it or not. 
But if you have the procedure, your tip will not get flat, and yes, you can have another procedures after. You'll have to wait at least 3-4 months (usually 6 months it's recommended) until the wound heals.

Will I benefit from an alarplasty? Will an alarplasty flatten my tip? (photos)

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