Rhinoplasty: Do I need a tip plasty or alarplasty? (photos)

Tip rhinoplasty is common performed to add definition in the nose. The cause for the loss
of definition in the nose can vary from patient to patient. Some causes
of a wide nasal tip are:1) Thick skin2) Divergent nasal cartilages3) Overly curved nasal cartilages4) Wide nasal cartilage5) Short underprojected noseIf you want to narrow your nostrils your would need a alarplasty.  Which surgery you need depends on your goals.  I hope this helps.  

Performing these procedures really depends upon your goals. An exam in person would be essential to determine this.

Dear maileen83,

Thank you for your clinical post and photographs. The ideal nasofacial balance and proportion
that best suits your face and your aesthetic goals can only be determined
during a consultation. Augmentation of
the nasal bridge, refinement of a slightly bulbous tip and modest reduction of
the alar base may all be options that you might consider in adjusting your
nasofacial balance and proportion. I
have been performing cosmetic rhinoplasty for over 20 years and was fortunate
to train in both plastic surgery and ear, nose, throat, head and neck
oncology. I deploy computer imaging and
simulated surgery to show patients the kind of improvements that different
rhinoplasty techniques such as alarplasty or tip plasty can provide. It is from this computer imaging that
patients get a good sense of what kinds of outcomes can be achieved and what
they find most pleasing.

I would recommend you seek three experienced nose surgeons
and gather information during your consultation before deciding whether or not
to proceed with any kind of rhinoplasty procedure.

You can also consider a simple injection rhinoplasty or 5
minute nose job that can give you a nice one year improvement and you can see
if bridge augmentation adjustment of the nasal tip provide the kind of
aesthetic results you’re looking for and, of course, the results are reversible
and go away if, in fact, you don’t find the changes aesthetically pleasing.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Based on these couple pictures I would do both. Cost would be determined after an examination but it will range between $4,000-5,000.

The type of operation that you need is based on what you would like to achieve from surgery and what you would like to change. The tip pasty, in general, would be done to try to improve your tip definition, narrow the tip, increase the projection, etc. The alar base reduction is to narrow the width of your alar base and to modify the shape of the alae and or nostrils. Maybe you would like to have both done. You need to consult with an experienced rhinoplasty surgeon and discuss your goals with him/her. Good luck!