Can My Bi-Alar Width be Reduced By 10mms?

Q: Dr. Eppley, My current alar width is approximately 43.5 mm, and my intercanthal distance is 33 mm. Using a combination of procedures—such as alar base cinch, wedge excision, weir incision, and sill excision—how much reduction in alar width could realistically be achieved? I understand I have thick skin, so I just want to get a sense of what would be possible with the most extensive surgical approach to bring the alar width closer to my intercanthal distance.

A: The question you are asking is whether a 10 mm bi-alar reduction can be achieved. Until I see some pictures of your nose and face I am going to assume that such  nostril width reduction is possible until proven otherwise.

Dr. Barry Eppley

Plastic Surgeon