The aim of nostril reduction surgery is to narrow the nasal base in order to attain a more balanced nose. Narrowing of the nostrils is a common rhinoplasty procedure either in combination with a formal rhinoplasty or as a standalone procedure. It involves the removal of tissue around the alar base and places the incision in the natural contours of the nose. This conservative procedure helps to enhance the overall appearance of the nose by improving nasal symmetry and balancing the proportions of the nose.
Nostril reduction surgery requires a specialist plastic surgeon with experience, precision and skill in order to minimise the chances of scarring on the nose or an unsatisfactory outcome. Dr. Watts performs nostril reduction surgery with the incisions made on the inside of the nostrils rather than on the outside where they are likely to leave scars. Dr. Watts uses the procedure to reduce the overall size of the nostrils. This can be achieved by reducing the width of the nostril base or shortening the nostril sidewalls depending on the desired outcome.
No two post-operative results can be the same since different facial structures require different nasal proportions. As such, an approximate nasal width with good symmetry for a particular face can be derived by drawing lines from the inside border of the eyes towards the base of the nose. These lines represent the ideal position of the outside borders of your nose and are a guide for judging alar base excision. Nasal base widths that exceed these lines can be improved with an alar base excision. Nasal asymmetry may also be improved with alar base excision but needs to be assessed on an individual basis.
Aside from the alar base excision, Dr. Watts also utilises nasal reduction techniques and delicate cartilage grafting procedures to correct asymmetrical nostril shapes, sizes and thickness. Cartilage grafting along the alar rim can be used to improve shape and symmetry along with correcting alar flaring.
In most nostril reduction procedures, a suture may be hidden under the skin between the nostrils to facilitate the narrowing of the nasal base. Depending on the particular case, the suture may be used in conjunction with an alar base excision.
Revision rhinoplasty can also be performed on the nostrils in order to correct the mistakes of previous rhinoplasty procedures. Aside from scarring, revision rhinoplasty can also help to correct deformed or twisted nostrils from a previous, unsatisfactory nose surgery.
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