Nose Reduction Surgery

Now coming to India where my practice is situated we have average size nose. If there is wide flared nostril then the patient request is genuine and what we see that if the width of nostril is more than the intercanthal distance then definite reduction is required and also the width of nasal dorsum width is more than 80% of the intercanthal distance than osteotomy is required to narrow the dorsum. Sometime we see that there is pseudo broadening go the dorsum is there , what it means is the height of the dorsum of nose is very less so that it gives the appearance of wide nasal dorsum so in planning everything is considered before the surgery.

If alar reduction is required then it can be done under local anesthesia or general anesthesia depending on the patient’s or surgeon’s choice. There marking is done. Normally two types of procedure is done for the alar reduction one hockey stick incision in which the long limb goes in the vestibule region and scar is minimal on the skin area. The other is elliptical U incision in the goes on the outer surface of aloe upto the area of alar crease which is hidden. The width of the skin excision is decided on the basis of alar flaring. Even while doing so we must take care that the incision should not cross the junction margin and should be at least 1 mm away from the alar crease otherwise it gives a very artificial-looking nostril.