Rhinoplasty is the most common and popular of nose jobs present in the world. If you are born with a nose that is not suitable to your facial features or if you had any injury or deformity during the course of your life which has changed the shape of your nose then Rhinoplasty is what you should seek.
One of the popular procedures of Rhinoplasty is Alar Base reductions procedures. Alar base reduction is a process in which the width of the base of the nostrils is reduced to give the nose a narrow and proportionate look. Nasal width reduction plays and important role in giving balance to other facial features too. The width of the nose is measured in terms of the width of the bridge and width of the tip and the width of the nostrils.
Ideally, the nostrils should be wide enough to fit between the inner corners of both eyes. However, this is just one parameter. The ideal nose shape and size will depend on many factors such as other facial features, ethnicity and patient’s expectations.
Alar Base Reduction Consultation
The first step to alar base reduction begins with you deciding that you need some base reduction. The next step is to find the best surgeon and book an appointment. At the appointment at the surgeon’s office he or she will discuss in detail about what your expectations are and examine the following to determine if you are a suitable candidate of alar base reduction rhinoplasty
- The existing shape of the nose
- The flare of the nostrils when they are at rest and then they are moving
- The width of the nostrils in proportion with the space it between the eyes
- Overall balance of the facial features
- Nasal cartilages and their strength
- Nasal skin thickness
- Ethnic features
Your expectations will also have a lot of say in determining the amount of reduction to the nasal base.
The expert surgeon will be able to use computer imaging software to give you a clear indication of the type of nose you should expect after the surgery.
Alar base reduction is trickier than standard Rhinoplasty procedures. If done under the hands of an inexperienced surgeon, it can cause many problems such as teardrop shape deformity, dissymmetry of the nasal base, very narrow nostril opening, and triangular looking tip.
Surgery Procedure and Details
Alar base reduction surgery take up to an hour to perform and you will be sore some time post the surgery therefore make sure that you take the day off from work on the day of your surgery to rest.
There are mainly three techniques that are used in alar base reduction. They can be used in combination or exclusion of other Rhinoplasty surgeries depending on changes that are desired. The most common technique is the Weir incision which is used for correcting the flared ala for the front appearance of the wide base. Wedge excision technique is used to preserve the natural curve of the base of the nose i.e. it is used to correct the excessive flare of the nasal sill. The third technique is the V-Y advanced which is used in conditions which only the lateral insertion of the ala is responsible for the wide nasal width.
The surgery will begin with the team administrating anaesthesia to you. This process is done under local anaesthesia. Alar base reduction is also known as Weir Excision Rhinoplasty and in this process the surgeon will reduce your nostril size by cutting a wedge off from the lower portion and at the same time retaining the shape of the nostril. Once he or she is satisfied the sutures are placed to finish the work. It is fairly painless procedure.
There is some scarring from the surgery but latest techniques have insured that the scarring is minimal and that too dissolvable stiches are used which hardly leave behind any mark.
The results of Alar base reduction will be visible within twenty four hours and there will be no restrictions in your breathing or any other functional problems with your nose after the surgery.