Upon viewing the nose from beneath, the nostrils and nasal tip form a triangle known as the pyriform aperture. A surgeon will adjust the pyriform aperture to reduce the width of the nose tip.
The width of the nose can be made narrower by making the angles of this triangle steeper at the juncture where the nostrils connect to the face.
Prudent double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and other neighborhoods and suburbs in this region of SoCal.
Nasal Base Reduction
A nasal base reduction is a rhinoplasty technique that reduces the width of the nose base in cases where it is excessively broad relative to the facial structure. In general, nasal base reduction in some variation is a routine component of rhinoplasty and revision rhinoplasty.
The reduction of the nose base is even more common in ethnic rhinoplasty. Rhinoplasty candidates with African American, Asian, and Middle Eastern ancestry often need to undergo nasal base reduction. These ethnicities usually have a broader nose base which requires a reduction of this area to enhance the nose appearance.
The main complaint of a large number of patients seeking rhinoplasty or revision rhinoplasty is that their nose looks excessively broad or large at the base. The base is typically measured from the outer margin of one nostril to the outer margin of the other.
In an ideal case, the nose base width should not be more than the distance between the eyes. If there were an imaginary line running vertically down from the corner of the eyes (inner canthus) on either side, the nasal base should lie between these two lines.
However, it is paramount to understand that this adjustment is a cosmetic ideal for a Caucasian nose. This standard may not be suitable for ethnic noses. In most ethnic rhinoplasty candidates, a nasal base that is slightly broader than this ideal measurement will offer optimal results.
Anatomy Involved in Nasal Base Reduction
It is important that the surgeon has a detailed understanding of the structure of the nasal base region to decide on the surgical treatment of particular nose surgery patients. The columella refers to a column-like structure located in the middle of the nose base.
This separates the nostrils into right and left portions. The alar base insertion refers to the part of the nostril side wall that connects to the upper lip-cheek point. The nasal sill region is the area that lies between the alar base insertion point and the columella.
A Wide Sill Region
Some rhinoplasty patients with a wide nose base also tend to have a broad sill area that creates extra nose width. If this sill is too broad, it could cause a more horizontal type nostril shape. This occurs commonly in patients with a wide nasal sill.
What to Expect after Reduction Rhinoplasty Surgery?
Reduction rhinoplasty entails the same recovery duration and strategies as any other nose reshaping surgery. After the surgery, the patient will experience inflammation and discomfort for many days as the nose, and the surrounding tissues start to heal.
The bruising will gradually fade, and the inflammation will resolve as the healing progresses. The outcomes of the rhinoplasty will manifest gradually, and the patient will be able to resume their normal routine after the recovery phase.
Double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and nearby areas across the horizon for rhinoplasty.
For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA.
Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.