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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Ideas, evidence & perspective.
Clinical thinking, anatomy, research and practical guidance — written to make complex decisions easier to understand.
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…
Read articleHow 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,…
Read articleCan 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…
Read articleWho 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…
Read articleWhat 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…
Read articleWhen 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…
Read articleCan alar base reduction be done after a previous rhinoplasty?
Patients who had rhinoplasty years ago and are now considering a small alar base reduction usually arrive with the same underlying feeling: the nose…
Read articleHow stable are alar base reduction results over time?
Patients often ask about alar base reduction as if the central question is the operation itself. In my experience, the more important question is…
Read articleWho is a reasonable candidate for ankle liposuction?
Candidacy is the quiet part of cosmetic surgery. Technique gets the attention; candidate selection gets the result. In ankle liposuction more than almost any…
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Decide personally.
General information can help you ask better questions. A useful decision still begins with your own anatomy, goals and limits.
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