Rhinoplasty for wide nose
Narrowing a wide nose and remaining natural.
It is possible to narrow the bridge, tip and/or the alar base and still have a natural look. However removing too much of the curve around the alar can lead to an unnatural look. Some nostril flare is natural and normal. (Ramtin Kassir, MD, Wayne Facial Plastic Surgeon)
Rhinoplasty to Narrow a Wide Nose
In order for this to be done the best possible way, you need to have an expert facial plastic surgeon perform the rhinoplasty for wide nose. For natural results, it needs to be done with the right precision, otherwise your desired results will not be achieved.
Try to find a board certified facial plastic surgeon and look through their before and after pictures. (Carlo Honrado, MD, FACS, Los Angeles Facial Plastic Surgeon)
Narrow the Nostrils or Ala in rhinoplasty for wide nose
The main component of your question seems to relate to the fact that you have a normal nostril size, but the base of the nostrils is wide and with smiling this is pulled even further apart.
Doing an excision from the nostril, such as an alar base reduction, would most likely cause constriction of your nostrils and an impairment of airflow.
Usually this scenario requires releasing the cartilage from the rim of bone around the base of the nose (piriform aperature) and bringing those structures closer together with an internal suture technique.
The main results of this is narrowing of the position of the base of the nose without narrowing the actual nostril. So, you achieve your cosmetic goal without impairing nasal airflow. (Cory Goldberg, MD, Toronto Plastic Surgeon)
Narrowing the Nasal Base
Rhinoplasty for wide nose can be used to narrow the nose. This includes the alar base (the outside part of the nostrils). If your nostrils are already small, this would be performed as a wedge excision of the thicker outer part, leaving the nostrils the same size but reducing the flare or widening with facial movements. Other techniques can be used to narrow the middle third or upper third of the nose, if needed. (Evan Ransom, MD, Bay Area Facial Plastic Surgeon)
Alar base reduction to narrow a wide nose
There are many reasons a nose can look wide and it is important to see an expert who has lots of experience with rhinoplasty for wide nose. A few millimeters makes a huge difference so it is important to find a surgeon with attention to detail. Also making one change to the nose can affect the appearance of another aspect of the nose.
It is important to understand that a wide nose can be due to either one of several reasons or a combination of the following: flaring of the nostrils (spreading when you laugh or even at rest), wide nasal base (considered wide if width is greater than the distance between your two eyes), or wide opening to the nostrils. The shape of your nostrils are also important prior to any manipulation because small nostrils will only be made smaller by alar base reduction to narrow the width of the nose.
The only way to make your nostrils “appear” bigger is to perform tip rhinoplasty whereby the tip of your nose is refined and projected so that the tip of the nose is longer. This will change the shape of your nostril to become more “tear-drop” shaped and appear longer and larger. There are steps that can be done to perform all of this yielding very natural results. (Kristina Tansavatdi, MD, Los Angeles Facial Plastic Surgeon)
Rhinoplasty for wide nose Procedure Can Narrow The Nose
A beautifully performed rhinoplasty procedure for wide nose can narrow the nose while maintaining the sense of facial balance and harmony which lead to natural results.
The key to thissuccessful, natural-looking rhinoplasty is finding an excellent surgeon with experience performing the procedure. The other secret is to look not just at the shape of the nose itself, but all the features of your face within context. Achieving a natural result from slimming your nose may also include bringing your facial features into harmony with other procedures such as augmenting your cheeks and chin. (David N. Sayah, MD, FACS, Beverly Hills Plastic Surgeon)