How Nose Surgery is Performed - Alar Base Reduction - Nostril Reduction

http://www.rhinoplastyspecialist.com
Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty.

In this video you'll discover how alar base reduction is used to narrow a nose that is too wide at the bottom. The procedure involves the removal of a portion of the nostril at the base of the nose. The strategically placed incisions at the base of the nose are then meticulously sutured so that any scarring imperceptible.

Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at...
http://www.youtube.com/watch?v=QobQdRapPfs

This is something covered in the ethnic rhinoplasty section, http://www.rhinoplastyspecialist.com/ethrhino.asp ; however, there are a few ways to perform alar base reductions. One is a simple nasal sill incision where the incisions are made inside the nostril. This reduces the bulk of the rhinoplasty versus the nostrils or alar, which are extremely wide such as in African, American, or Asian individuals. With them, excisions inside the nostrils can help recontour the alar and make it more narrow.

Weir incisions are another name for this type of reduction. Sometimes the combination of Weir incisions and nasal sill incisions can be done simultaneously to decrease the width of the nose. The risk of nostril asymmetry following alar base reduction is possible. However, sometimes the nostril asymmetry is present prior to surgery.

Dr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA.
http://www.spaldingplasticsurgery.com

OPERATIVE TECHNIQUE:
3.5 mm alar resections were drawn and a Sheen type I alar resection (cutaneous) was performed after infiltration of the ala with local. An 11 blade was used to make the inferior incision extending medially along the alar base and culminating lateral to the nasal sill. 5-0 vicryl subcutaneous sutures were place followed by skin running sutures using 6-0 prolene.

African American Nasal Anatomy
Skin: Thick, Abundant Fibrofatty tissue
Radix: Deep, Inferiorly-Set & Low
Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat
Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition
Base: Wide, Thick, Horizontal & Flaring Nostrils
Nasolabial Junction: Retracted, Acute Nasolabial Angle
Maxilla: Usually Retrusive & Hypoplastic

Hispanic Nasal Anatomy
Skin: Thick, Abundant Sebaceous Glands
Radix: Low to Normal
Nasal Bridge: Wide
Dorsum: Convex (Nasal Hump)
Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition
Columella: Short to Normal
Base: Wide, Thick, Horizontal & Flaring Nostrils
Nasolabial Junction: Retracted & Acute Nasolabial Angle
Maxilla: Within Normal Limits

Asian Nasal Anatomy
Skin: Heavy, Thick & Sebaceous
Radix: Deep & Flat
Nasal Bridge & Dorsum: Low, Wide & Flat
Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition
Columella: Short, Minimal Show (Retracted)
Base: Wide, Thick, Oblique & Flaring Nostrils
Maxilla: Usually Retrusive

http://www.spaldingcosmeticsurgery.com

Category:

Education

Tags:

• alar
• base
• reduction
• narrow
• wide
• nose
• nostrils
• operating
• room
• plastic
• surgery
• cosmetic
• rhinoplasty
• LA
• los
• angeles
• nostril
• philosophy
• health
• educational
• treatment

[lawforever]

This video is amazing. I am looking for a doctor who can perform alar base reduction. I understand that you cannot determine the actual cost of performing this surgery, but would you be able to provide me with the range of cost for this service?

[drpaulnassif]

@lawforever Alar base reduction alone costs around $6500. Thank you for the message, and please feel free to contact my office any time.

[smistry93]

how much does an alar base reduction only cost?

[drpaulnassif]

@smistry93 Alar base reduction alone costs around $6500. Thank you for the message, and please feel free to contact my office any time.

[drpaulnassif]

@radonas Boys have their growth spurt later than girls. Thank you for the message.

[boyeks]

@drpaulnassif no .. i just want my nostrils to be even and alined , thanks anyway Doc.

[scumkatz]

What do they do with the extra skin!

[drpaulnassif]

@boyeks Hello,

It would really depend on your individual circumstances. Your nose would be changed to best suit your own facial features, while obtaining a natural result. Thank you for the message, and please feel free to contact my office any time.

[drpaulnassif]

@LuvConquersAll1 Hello,

I would really need to perform an examination to provide you with the best advice. Please feel free to contact my office any time. Thank you for the message.

[boyeks]

hey Doctor.. , i have really small nose like 1 inch and with uneven nostrils .. does it possible to make it look good with just adjusting the nostrils ?.

[LuvConquersAll1]

I have a question and I really value your opinion b/c you did a great job in this nostril reduction video. I had rhinoplasty about 2 years ago and everything turned out great except my nostrils. They have visible bumps on both sides! They look like acne bumps. Also one nostril is smaller b/c he pulled it in too tight. I really would like a revision surgery on my nostrils. Do you think it could look alot better with the right surgeon. I am african american, so getting cut again does bother me.