Conservative Asian Rhinoplasty - Alarplasty? (photo)

Question

Nose too wide & stretches out when I smile, nostrils large. My main aim wuld b 2 reduce nose size. I'm unbothered by nose height/tip sharpness, I wuldnt want any implant/procedure to make it so. Doc proposed ear cartilage, but Im not comfortable w inserting additional things. I'd prefer somethg more simple. I've read abt diff techniques of alarplasty. Can it reduce fleshiness of nose if incision is made at cheek-nose line, tgt w reducing width by base incision? Is removing excess flesh on nose possible?

Rod J. Rohrich, MD · Answer

Correction of excess alar nostril size or flaring, can be corrected with alar base reduction. However, this does warrant an external base scar which in a high majority of patients is almost imperceptible long term.

Charles S. Lee, MD, FACS · Answer

Yes, you can narrow the nostrils, but the nose will become slightly upturned. So you will need to have some tipwork to prevent the nose from becoming "piggy". The tip can be thinned out (defatted) and some muscles at the tip removed and the cartilage at the tip reinforced so that it doesn't plunge down and widen upon smiling.

Donald B. Yoo, MD, FACS · Answer

Alar base modification can be performed with a combination of Weir and sill incisions in conjunction, or separately.  The shape, flare and width of your nostrils can be modified.  Examining your pictures, I don't think alar base modification alone will reduce the "fleshiness" of your nose to your satisfaction.

Kimberly Lee, MD · Answer

This is a common request amongst ethnic patients.  Alar base reduction can reduce the width of your nostrils as well as flaring, especially with smiling.  Please consult with a board certified specialist who can assist you in achieving the results you seek.

Steven Wallach, MD · Answer

An alarplasty can treat width and flare of the nostrils.  Fleshiness has to do with the thickness of the soft tissue envelope.  It sometimes can be reduced.

Conservative Asian Rhinoplasty - Alarplasty? (photo)

Answers (5)

Answer: Alar Base Reduction

Answer: Alar Base Reduction

Answer: Alarplasty

Answer: Alarplasty

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Everything you need to know about Alarplasty

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Conservative Asian Rhinoplasty - Alarplasty? (photo)

Answers (5)

Answer: Alar Base Reduction

Answer: Alar Base Reduction

Answer: Alarplasty

Answer: Alarplasty

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Recommended reading

Everything you need to know about Alarplasty

Our mission is to create a world where every investment in modern beauty is Worth It.