Would an alarplasty be good to slim down this bulbous nose or just a bulbous tip procedure? (Photos)

Question

I'm 28 years old male. My goal is to slim down my nose. A doctor recommended I do both alarplasty and bulbous tip procedure. But I feel as if I just need the alarplasty since I think the projection is fine just the nostrils can get really big when smiling. But at the same time I think a bulbous procdure would do well too since my nose is quite rounded.

Joseph L. Daw, Jr., MD, DDS · Answer

Matthew,
Creating a smaller lower nose would involve trimming the tip cartilages and shaping the tip with sutures.  The nose will also look smaller by reducing the the width of the base of the alae.  These procedures together will allow for a more balanced look to your nose.  I would do not one without the other.

Jonathan Kulbersh, MD · Answer

While it’s difficult to make a full recommendation without seeing you in person, it does appear you would be a good candidate for both alarplasty and a tip procedure. This approach would address the bulbous tip as well as the wide nostrils, to give you a very nice result. As long as the surgeon you are working with is both board certified and extremely experienced in rhinoplasty techniques, I would trust the recommendation you received and move forward with your procedure.

Gurkan Kayabasoglu, MD · Answer

Hello, Based upon your shared photos, you can benefit from a rhinoplasty procedure that focuses on both tip refinement and alar base reduction, your wide alas can be reduced with alar excision procedure so when you smile you will not exprience alar flaring and the harmony on your face will be achieved and you can obtain your desired look. Thick skin can be prepared to surgery with some pre-op treatment, with the treatment your skin will be ready to surgery. Piezo technology, that is the latest, will protect your soft tissue and provides maximal healing,You need to have a detailed examination and face analyse to get customised treatment plan, be sure that your surgeon is professional facial plastic surgeon.

Sam Naficy, MD, FACS · Answer

With thick skin, an alarplasty alone can make the tip appear even wider (by narrowing the nostrils and not narrowing the tip).  So you are better off doing both the tip and alae as well as thinning of the skin.

Zoran Potparic, MD · Answer

Without in person evaluation it is very difficult to give you good analysis of problem and solution for it. There is a important fact to consider; you have thick skin on the tip of the nose and it will always limit how much refinement of the tip can be achieved. Reduction of allar base and allae should be a part of your rhinoplasty. Consultation with an experienced, board certified plastic or ENT surgeon, with good reputation in rhinoplasty, is recommended. Good luck.

Ronald J. Edelson, MD · Answer

An alarplasty by itself would be a perfectly satisfactory choice. Very easy to go through and can even be done awake with local anesthesia. A tip plasty would be beneficial as well but the alarplasty alone is fine if that’s all you want.

Pejman Aflaki, MD · Answer

Hello and thank you for the question and sharing your photos. I believe you benefit from a rhinoplasty procedure focusing on both tip refinement and alar base reduction. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. 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

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

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Alejandro Hernandez Pizzoglio, MD · Answer

Hello, after seen your pics, we think that a complete closed or open  Rhinoplasty, should give us a very nice result
Look for certifed plastic  surgeon
Best wishes

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!From your photos, I note a rounded wide nasal tip as well as thick nasal skin. Nasal projection appears normal. One may consider an alarplasty where segments of "overgrown" upper and lower lateral cartilages are trimmed to increase nasal tip definition. The thickness of your skin may limit the amount of definition achievable to some extent.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...

Would an alarplasty be good to slim down this bulbous nose or just a bulbous tip procedure? (Photos)

Answers (12)

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