Nostril & Alar Reduction
Tip-plasty or Tip Rhinoplasty Surgery :
Ala : - is lower part of side wall of nose. in most cases of broad nose ala is bulky and gives nose a flaring look.
alar reduction aids in overall reduction in nose width and makes nose more pleasing. scar of alar reduction we create
matching with cheek nose crease (groove) so that in long term, its not visible separately.
Final alar width is determined by distance between medial angles of both eyes and prominence of
cheek bones (malar prominence).
Nostril : Nostril are paired aperture or outer opening of nose of nose, and are wide in big broad noses.
nostril reduction is done through nostril sill (base of nostrils) so that scar is always hidden. while doing nostril reduction , we use
suspension technique so that both nostrils will be equal. with suspension technique nose can itself adjust to equal width.
Columella : Columella is the central pillar of nose visible in face up position. It parts nose in two passages.
base of columella (part attched to lip) is formed by foot plate of alar cartilages. these foot plates some times may be flaring
, causing wide culumellar base and obstructing nostril, such columella flaring is found in low and broad nose with low tip height.
Reduction columelloplasty with a diamond shaped excision leaves external scar which doesn't match with natural lines of nose,
so we are doing it without wedge excision with modification of foot plates of columella (alar cartilage).
Before After Picture Rhinoplasty- septoplasty with
Nostril, ala and columella work is usually done together.
Bilateral alar and nostril reduction before after
picture. swelling is there in tip. Tip and overall nose would be much narrower
after swelling will disappear. it will take more than three months.
Tip-plasty : most common problems with nose tip are broad and low or depressed tip.
low tip may be with or without low dorsum or bridge of nose. wide tip with lack of tip definition is another common problem.
Tipplasty is designed as per deformity and requirement. Tip is also the area of external valve and so knowledge of breathing mechanism
of nose is essential during tip plasty. we design tip plasty in a way to improve height, create clear tip definition,
and maintain normal contour of nostril border.
Nostril, Columella and tipplasty before after picture. Combined to dorsum
augmentation, overall narrowing of nose and creation of sharp nose features in a
blunt looking broad nose with low and broad tip.