How do you decide whether skin needs to be removed in accessory breast tissue surgery?
I decide this by evaluating skin recoil and redundancy, and by predicting whether volume reduction alone will leave a fold. If the skin envelope…
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Dr. Mert Demirel
Clinical thinking, anatomy, research and practical guidance — written to make complex decisions easier to understand.
Can accessory breast tissue removal be combined with other breast procedures?
Sometimes it can make sense, especially if the lateral breast and axilla need to read as one coherent contour field. But combination is not…
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Can alar base reduction be performed on its own, without a full rhinoplasty?
There is a particular kind of patient who comes into a nose consultation with a clear, narrow request: I do not want a rhinoplasty.…
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Why can such a small change in alar base reduction look so significant?
One of the quieter paradoxes of nasal surgery is that the smallest interventions can produce the most conspicuous changes. A patient who undergoes alar…
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Will alar base reduction leave scars, and where are they located?
The honest answer to whether alar base reduction leaves scars is yes. Any operation that involves cutting and suturing skin leaves a scar. The…
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How do I know if my nostrils are truly wide, or if it is the tip making them look wide?
This is the question I wish more patients asked before they came in with a fixed idea about what their nose needs. The answer,…
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Can alar base reduction affect breathing?
One of the most sensible questions a patient asks in a nasal consultation is also one of the most under-answered in cosmetic marketing: if…
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Who is a reasonable candidate for alar base reduction?
Most articles about candidacy for a cosmetic procedure are written as checklists. A good candidate has X, Y, and Z; a poor candidate has…
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What does recovery typically involve after alar base reduction, and how variable is it?
Alar base reduction is a short operation, and patients generally expect a short recovery to match. The operation is short. The recovery, in its…
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When is alar base reduction not always the right answer?
Every surgeon keeps a private mental file of operations they declined and never regretted declining. For me, alar base reduction occupies a surprisingly prominent…
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