Concerns about wide alae or a broad nasal sill often appear alongside notes about nasal tip height and nostril shape. The cases include instances where alar base reduction was combined with nasolabial angle correction, as well as cases where the alar base was addressed while adjusting nasal bridge height. Rather than focusing solely on width changes in photos, examine which areas were modified together during the same surgery.
The original notes also explain that nostril shape may appear somewhat unnatural in the early stages following alar base reduction. Because these notes reflect a specific point in time, it is important to check when photos were taken. It is also necessary to distinguish between a patient's past history of alar reduction and an actual reduction performed during the current surgery, especially in articles involving asymmetry correction, where surgical details for each side should be examined together.
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A case of a patient seeking a slimmer line after a previous rhinoplasty. Nasal tip reconstruction with autologous rib cartilage, nasal bridge implant replacement with lowering of the radix, nasal sill reduction, and full-face autologous fat grafting were performed together.
Performed or used in this surgery
A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.
Performed or used in this surgery
In a nose where the anterior septum was severely damaged by Medpor, foreign materials were removed, and septal reconstruction using autologous rib cartilage, silicone implant replacement, nasal sill reduction, and functional nasal surgery were performed.
Performed or used in this surgery
For a wide nasal tip and nasal sill, residual filler, and a deviated septum, we removed the filler and performed donor rib cartilage tip correction, nasal sill reduction, nasolabial angle correction, septoplasty, and rhinitis surgery.
Performed or used in this surgery
To improve an elongated-looking nose, nostril asymmetry, and a deviated columella, we performed autologous rib cartilage septal extension, septal reconstruction, and alar base width correction together.
Performed or used in this surgery
After double jaw surgery and rhinoplasty, a wide-looking nose and drooping tip were improved by removing the previous materials, reconstructing the septum with autologous rib cartilage, and performing nasal sill reduction.
Performed or used in this surgery
For an overly high "Pinocchio-like" deviated nose with septal damage, the silicone implant was removed, and autologous rib cartilage reconstruction, radix adjustment, and nasal sill reduction were performed.
Performed or used in this surgery
Post-nasal drip, a drooping tip, and a narrow columella were comprehensively improved through septal and inferior turbinate surgery, autologous cartilage septal extension, and alar reduction.
Performed or used in this surgery
A wide, blunt nasal bridge, drooping nasal tip, and retracted columella were corrected into a slim, three-dimensional profile using septal extension with autologous rib cartilage, nasolabial angle correction, and nostril sill reduction.
Performed or used in this surgery
A case in which nasal tip plasty with autologous rib cartilage, lateral osteotomy, nasal floor reduction, and nasolabial angle correction were performed together to correct a blunt bulbous nose, wide nasal base, and crooked nasal bridge.
Performed or used in this surgery
To improve a wide nose and drooping tip in a patient with a history of cleft lip and palate surgery, autologous rib cartilage septal reconstruction, nasal tip elevation, nasal sill reduction, and inferior turbinate surgery were performed.
Performed or used in this surgery
For a nasal bridge that became wide and crooked after filler injections, accompanied by a dorsal hump and bulbous tip, a combined procedure was performed consisting of lateral osteotomy, tip elevation using autologous rib cartilage, hump rasping, nasal sill reduction, and rhinitis surgery.
Performed or used in this surgery
We reconstructed the septum damaged by double jaw surgery using autologous rib cartilage, and combined rhinitis surgery, right alar reduction, and lateral osteotomy to create a straight bridge line.
Performed or used in this surgery
Redness of the nasal bridge and a long nose that developed after two prior surgeries using autologous and donor rib cartilage were corrected through septal reconstruction with autologous rib cartilage, implant replacement, and nasal base correction.
Performed or used in this surgery
For an elongated-looking philtrum and asymmetrical alae, filler was removed, followed by septal extension using autologous rib cartilage, nasal sill reduction, and septal and rhinitis surgery.
Performed or used in this surgery
For a large nose with a dorsal hump and a drooping tip, harmony was achieved through lateral osteotomy, nasal tip correction using autologous rib cartilage, nasal sill reduction, and autologous facial fat grafting.
Performed or used in this surgery
A short, upturned nose accompanied by nasal obstruction and a decreased sense of smell was corrected using a combination of septal extension with autologous rib cartilage, septoplasty for a deviated septum, lateral osteotomy, and submucosal resection of the inferior turbinates.
Performed or used in this surgery
Correction of a crooked nose and bulbous tip following fracture reduction and multiple prior rhinoplasties using autologous rib cartilage septal extension, lateral osteotomy, nasal sill reduction, and nasolabial angle correction.
Performed or used in this surgery
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There are recorded cases where nasal tip surgery using autologous rib cartilage was combined with alar base reduction and nasolabial angle correction. These records detail how the direction and height of the nasal tip were addressed alongside base width. Rather than assuming that a narrower front view was achieved through reduction alone, it is helpful to check the specific corrections detailed in the main text.
One case record notes that nostril shape may appear somewhat unnatural in the early period after alar base reduction surgery. This serves as an example where the clinical context changes depending on when the photograph was taken. Rather than comparing early photos to long-term outcomes, check both the operated areas and the progress notes detailed in the original article.
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