Alar reduction and nose reduction
Give a direct answer first
nose reductionThe solution is that the nose tip is blunt, hypertrophic, and sagging.Suture, pruning and remodeling of nasal tip cartilage；Alar reductionThe solution is that the nose wings are enlarged and the nostrils are too large.Excision and narrowing of excess alar nasal tissueBoth are often requiredjointly conductedIn order to make the "big nose" as a whole refined - only one thing is done, often one thing is ignored. Under standard operation, the incision is hidden and the scar is not obvious, but the plan must be determined according to whether the nose is "cartilage open" or "soft tissue is too thick".
First, distinguish: the nose is reduced ≠ the nose is reduced
Many people understand "big nose" as a problem in general, but it is actually determined by the two subunits of the tip of the nose and the alar of the nose:
- Nose (tip of the nose) problemsThe roundness, hypertrophy, drooping, and lack of performance points at the tip of the nose are mostly related to the weak morphology of alar cartilage (inferior lateral cartilage), thick soft tissue, and developed sebaceous glands.
- alar nose problemThe base of the alae nasi is wide, the base of the alae nasi is expanded, the nostrils are too large or exposed to the sky, which belong to the width of the edge of the alae nasi and the base of the alae nasi.
To determine which category you belong to, the easiest way is to look at the front and bottom together: the front to see if the "triangle under the nose" is wide and round, and the bottom to see if the nostrils are too large and the wings of the nose are open. Real garlic noses often have both and need to be treated jointly. For system solutions, please refer to the on-siteGarlic nose correctionSpecial topics.
How to reduce the nose
The core of nose reduction is to "reshape the tip cartilage scaffold", rather than simply "cut off a piece of meat". Common surgical procedures:
- Alar cartilage suture and shapingThrough the suture between the fornix and the parted and expanded nasal tip cartilage, a concentrated and upturned nasal tip is formed, and the trauma is relatively small.
- Cartilage pruning + graft supportIf the cartilage is too hypertrophic, trim it moderately, and then use the nasal septum or ear cartilage for nasal column support and cover plate transplantation to pad out the height and delicacy of the nose tip.
- Soft tissue thinning at the tip of the noseThick skin and developed sebaceous glands should be used to remove the excess soft tissue at the tip of the nose, allowing the shaping effect to "penetrate".
Nose narrowing usually occurs innasal synthesisIt is completed within the frame, because the height of the nose tip and the support of the bridge of the nose often need to be designed together to be natural. See in-app for the logic of choosing between nasal integration and simple rhinoplasty.Comprehensive or simple rhinoplasty?。
How to reduce the size of the nose
| operation | fit the situation | Incision location | feature |
|---|---|---|---|
| Alar nasal incision | The alae of the nose is slightly and moderately extended, the nostrils are too large, and the edge of the alae of the nose is basically normal | medial nostril | There are almost no visible scars on the body surface, and the narrowing range is limited |
| nasal alar excision | The nasal alae are obviously hypertrophic and expansive, and the base is wide | nasal sulcus | The narrowing range is large, and the incision is hidden in the folds of the nasal alae, which is not obvious after recovery |
| Internal and external joint/basement contraction | alar width + large nostrils + basal expansion | internal and external combination | Comprehensive improvement of alar and nostril morphology |
The most common concern is whether the narrowing of the alae of the nose "leaves a scar": there is indeed an incision in the external incision method, but it is located in the natural folds at the junction of the alae of the nose and the cheeks. After healing, it is mostly a light and thin line, and the normal distance is difficult to detect. Those with scar constitution need to inform the doctor in advance for evaluation.
IV. Suitable for the crowd and unsuitable for the crowd
- fit: The nose tip is blunt and hypertrophy, the alar of the nose is enlarged, the nostrils are too large, and the frontal "under the nose triangle" is wide.
- United is better: Those who have both a big nose and a wide nose are difficult to achieve overall refinement by doing one alone.
- Caution/hold off: Scar constitution, the nose is in the stage of infection or inflammation, and the expectations are unrealistic (want to change the nose to be inconsistent with their own structure).
V. Recovery period and cost components
The reduction of the alae of the nose and the reduction of the nose head are mostly completed in the outpatient or inpatient day. The stitches are generally removed in 5 - 7 days after surgery, the swelling gradually subsides in 1 - 3 months, and the shape of the tip of the nose is stable in about half a year. The recovery rhythm can be compared with in-app.Rhinoplasty recovery scheduleThe cost is affected by the complexity of the operation, whether to combine nasal synthesis, whether to use autologous cartilage, and the level of doctors and institutions. For details, seeHow much is a rhinoplasty?。
This article is composed ofDr. Tang YuxiangThe medical beauty strategy section is sorted out and released. Please indicate the source when reprinting.
FAQ
Q 1: What is the difference between alae reduction and nose reduction?
A: The reduction of the nose head is aimed at the round and blunt hypertrophy and sagging of the nose tip, and relies on cartilage suture and remodeling; the reduction of the nose wing is aimed at the expansion of the nose wing and the excessive nostril, and it is narrowed by the removal of excess alar tissue. The two parts are different and often need to be combined to make the big nose delicate as a whole.
Q 2: Can I do only alar reduction or only nose reduction?
A: Yes, but it depends on the appeal. If only the nose is expanded outward and the tip of the nose is normal, you can do the nose alone; if the tip of the nose is round and the nose is not wide, you can do the nose alone. Most "garlic heads" account for both, and the combined effect is more coordinated.
Q 3: Will the narrowing of the nose leave a scar?
A: There are almost no visible scars on the surface of the internal incision method; the external incision method is in the natural folds of the nasal alae, and most of them are light and thin lines after healing, and the normal social distance is not easy to detect. Those with scar constitution must inform the doctor in advance for evaluation.
Q 4: Will the narrowing of the nose rebound and change back?
A: The nose, which is mainly based on cartilage suture and scaffold remodeling, is reduced and the shape is relatively stable; but the tissue has a certain rebound and proliferation, and the shape is gradually shaped after the early swelling subsides, and the long-term effect of standardized surgery is reliable.
Q 5: Can hyaluronic acid make the nose smaller?
A: No. Hyaluronic acid is an "addition" and can only be raised. It cannot shrink the nose or narrow the alar nose. Injection at the tip of the nose also increases the risk of necrosis. The problem of the nose and alar nose should be solved by cartilage and soft tissue surgery. See in-app for injection purposes.Full analysis of hyaluronic acid rhinoplasty。
Q 6: How long will it take to see the final effect?
A: After the stitches are removed, the prototype will appear. Most of the swelling subsides in 1 - 3 months, and the refinement of the nose tip is usually stable in about half a year; it takes longer for the scar to fade.
VII. Related nose topics
- Rhinoplasty strategy
- Introduction of Dr. Tang Yuxiang
- Garlic nose correction
- Comprehensive or simple rhinoplasty?
- How much is a rhinoplasty?
Medical Disclaimer: This article is the content of nasal science popularization, does not constitute diagnosis and treatment suggestions, and does not guarantee any surgical results. The relevant plan needs to be interviewed by professional physicians such as Dr. Tang Yuxiang, and determined after comprehensive evaluation of personal nasal conditions and health conditions. There are individual risks and differences in medical aesthetics, please make rational decisions.
