Nostril Retraction

Many people have big noses, which makes their noses look wide, especially Europeans and Americans. Big noses are their unique genetic factors. Wide noses make the nostrils look big, and the high nose bridge will also appear low, collapsed and lifeless. Therefore, in order to improve the wide nose, you can do rhinoplasty and nostril contraction. Let me give you a detailed introduction to the knowledge of nostril contraction.

When the nose wings are wide, the nostrils will appear large. If the nose wings are very wide, the nose will appear very low even if it is not low. When the nose is low and the nose wings are slightly wide, rhinoplasty alone can achieve the effect of reducing the nose wings and making them look natural. However, people with wide nose wings need to undergo nose reduction surgery to make the entire nose appear coordinated.

Under normal circumstances, the outermost side of the nostril does not exceed the vertical line of the inner canthus, otherwise the nose is enlarged. When the nose wings are wide, the nostrils will appear large. If the nose wings are very wide, the nose will appear very low even if it is not low. When the nose is low and the nose wings are slightly wide, rhinoplasty alone can achieve the effect of reducing the nose wings and making them look natural. However, people with wide nose wings need to undergo nose reduction surgery to make the entire nose appear coordinated.

The edge of the nose should be a harmonious arc, not too high, too low, too straight or asymmetrical. When the nose ala droops, the front, back or entire nose ala edge may droop, which may cover the columella when viewed from the side, forming a pseudo-columella invagination deformity, which should be distinguished from true columella invagination. However, people with wide nose wings need to undergo nose reduction surgery to make the entire nose smaller and look more mature.

1. When the nose wings are not too wide, you can insert an auxiliary column into the columella and perform cartilage transplantation on the nose tip. The nose tip will be straightened up and the width of the nose wings will be reduced. No other surgery is needed. Therefore, whether or not the nose wing needs to be reduced must be evaluated and determined after the nose tip is erected.

2. Alar resection is mainly suitable for Asians or blacks. It is a method to reduce the size of the nose when the nose base is too wide or the nostrils are too large. When the nose wing is wide, it is mostly because there is excess skin on the nose wing. The skin under the nose wing should be removed and the incision should be sutured to reduce the size of the nose wing, which can make the nostrils appear longer. The incision is left at the boundary between the nose and cheek, and the scar is very inconspicuous.

3. For patients with wide nose wings and wide nostrils, partial resection of the nose wing base and nostril reduction surgery can be performed cautiously. The designed incision is located at the base of the nose and the lower part of the nose groove. Under local anesthesia, part of the full-thickness tissue of the nose base is appropriately removed, and then the nostril is pushed inward to narrow it, and layered interrupted sutures are performed. The length of the visible scar after surgery generally does not exceed 1CM.

5. For those with small nostrils, thick nose wings, or too full upper part of the nose wing groove, a skin incision can be made along the front edge of the outer crus of the nose wing cartilage, and the skin and the nose wing cartilage underneath can be peeled off stealthily, the bloated soft tissue on the surface of the cartilage can be cut off, and then the upper and outer parts of the nose wing cartilage can be appropriately removed; then, a diamond-shaped piece of vestibule skin and nasal mucosa can be removed from the inner side of the base of the nose wing inside the nostril, and the excess fat tissue can be cut off. Finally, the incision on the edge of the nostril and the incision on the inner side of the base of the nose wing can be sutured. The length of the visible scar after surgery generally does not exceed 1CM.