Hey guys, does anyone know if ALAR PLASTY can change the shape & positioning the nostrils (with respect to the tip) from the type on the leftmost girl to the type on the center.......
Right now my nose tip & nostrils resemble those of the girl on the very left....but I really want the down-ward pointing tip of the girl in the center (Pan Chen, one of top 10 Super Girls '09, basically the Chinese version of "American Idol"). I've done a lot of facial analyses of photos (of people I consider attractive) and thought about what best fits my face....and it truly is that type of downward-pointing tip that works.
But to go from the typical Asian tip/nostril (e.g. left-most girl) to the DOWNWARD-POINTING TIP of the girl in the middle.....is that where ALAR-PLASTY comes in?? Is there some way to reduce the size of those two little "tabs" on the left & right-hand side?
Does it also involve adding extra cartilage to the tip to make it droop more? (that's sort of like Dr. Tseng's aesthetic, except more drooping than he adds....but I heard that he actually adds a layer of silicone to the columella area/bottom of tip to achieve that droopy look.....and that sounds really suspect to me in terms of long-term safety....can't risk artificial implants in the tip area, only bridge/top portion and all autologous cartilage for the tip portion).
BTW here are more photos of the DOWNWARD-POINTING TIP on that girl
I just had my rhino 2 weeks ago (I-shaped silicone, with ear cartilage for tip) and have been quietly (but impatiently) waiting for the results to show. For some reason I recovered extremely quickly and didn't experience excessive swelling (just a bit, more of asymmetric swelling from week 1 to week 2....that has since subsided). Well, in terms of the silicone implant selection & placement and bridge & side profile.....it's fantastic.....the bridge and side profile (and basically the nose MINUS the tip) turned out almost exactly the way I dreamed of. I'm soooo glad I went with the 5mm implant and didn't opt for a lower implant or conservative change. 5mm made the difference that I wanted; yes in some photos now I do look a tiny bit Eurasian (just a bit), but I have no complaints about that as I definitely look better post-op than pre-op. I'd probably opt for even higher, i.e. 6-7mm implant, with goretex if I have to get a full revision later on.
HOWEVER, I still despise my tip and nostril positioning.....and think I'll have to get alar-plasty and/or possibly tip-plasty re-done later.....unless some miracle happens in the next 6 months, which I highly doubt. My family thinks I'm crazy though, as does my surgeon.....but I had a truly specific look in mind and don't want to settle for less. I love my bridge the way it is now and really want to avoid tampering with that for the time being (who knows, a revision could screw that part up), so I'm wondering if it's possible to get alar-plasty and/or tip-plasty revision while keeping the silicone implant intact (or do surgeons handling revisions insist on revising everything and replacing the implant)?.
I just really regret not going full out and getting alar-plasty when I got my rhino......in retrospect it seems that changing the nostril shape from circular to oval (typical of Caucasian noses) and reducing the size of the nostrils (even just a small reduction in size) can make a drastic difference. Case in point is the Vietnamese girl's nose on Dr. Toriumi's website.....he modified the shape of her nostrils and it obviously affected the tip and projection. According to all the surgeons I'd consulted alar reduction was "not really necessary" for my case and it would be my prerogative whether to add that option......but to obtain a truly truly beautiful nose (not just an above-average nose) I think I needed to go all-out and not hold back.