Combined Wedge and Sill Excision - Will It Be Able to Make a Significant Difference to my Nose? (photo)

While alar base modification can change the width, shape and flare of the nostrils, it will not have an effect on the tip defining points of the nose.  I'm skeptical that the photo you found on the internet represents only an alar base modification, as the tip appears to have been worked on as well.

Alar base modification will be able to successfully "tuck in" and streamline your nose, but will not have any effect on the refinement of your tip.  In fact, it may actually accentuate the bulbosity of the tip if the tip is not addressed at the time of alar base modification.  

It is possible but you must realize there are NO guarantees and you might need multiple minor operations. Plus potential scarring must be considered. 

An alar base procedure can  treat flaring and width. It will not refine the tip, that requires a tip plasty.

After reviewing the pictures you submitted I think your will have an excellent result narrowing the base of your nose and decreasing your nostril flaring. I may change my mind after examining you but I don't think your tip needs to be changed.

Hi,

That would be my patient that you referenced. She had a full rhinoplasty, with intra- nasal sill reduction. You can have a 2 staged procedure. I would start with an intra-sill reduction and if you still want more reduction, an alar wedge can be considered.

Best.

Dr.S.