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If the nose is too wide in the nostril area, then the "wings" of the nose can be narrowed by cutting out a wedge-shaped piece from the outer base of each nostril. This is referred to as an Alarplasty, and it is one of the rare times that an external cut is made on the nose. The scars are thin and hidden from view in the natural crease of the nostrils. An equal amount is taken from each nostril or the nose will look crooked. 


What is Alarplasty ?

Alarplasty refers to narrowing of too-wide nostrils. Rhinoplasty is a general term referring to any surgery designed to change the appearance of the nose. Alarplasty is performed by removing a predetermined amount of soft tissue, and then suturing the open area together. This narrows the nostrils, which is desirable when they are over-wide, in the practice surgeon perform only the inside-nose incisions that extend no further than the nostrils.

Once the patient is thoroughly anesthetized the procedure will begin. Preoperative marks will determine the amount of nasal tissue to be removed. Depending on the patient's anatomy, the shape of the tissue to be excised will typically be in a triangle, rectangle, or diamond shape. The surgeon will make an incision just above the outside crease where the nostril connects to the cheek. The incision will continue to the inside of the nose, following all the way around the preoperative markings. The tissue will then be excised. Sutures will then be used to reattach the nostril to the base of the nose in a more narrow position. The procedure will be repeated on the opposite nostril. Incisions and resulting scars are well hidden within the natural creases of the nose.
The goal of an alarplasty procedure is to reduce the size of the nostrils for a more symmetric nose or more balanced facial features.


Result and Follow up

During Alarplasty , surgeon will make an incision where the wall of the nose meets the cheek. The extra fatty tissue, muscle and skin are trimmed. The nostril is repositioned and lastly is reconnected with fine sutures. The surgery time is approximately 1 hour under local anesthesia in our clinic. There is no requirement for one night admission. You will experience swelling where the incision areas are but it will subside in a week or two.

PREPARATION BEFORE SURGERY

  • Tell the doctor about the underlying disease. Medicines, surgery history, drug allergy history, food allergy history (If there is a medical record from the hospital Should be taken on the day of consultation as well) or inform before the surgery queue
  • Patients who received blood clotting drugs And medications that affect blood clotting, such as aspirin, Coumadin, Plavix or NSAID painkillers, such as Voltaren, Brufen or other underlying disease drugs
  • Do not eat vitamins, supplements of all kinds, such as vitamin E, fish oil, ginkgo leaves, grapeseed, ginseng, etc. must stop the drug at least 1 month.
  • Should wash your hair thoroughly before surgery. And not makeup on the day of surgery Do not wear contact lenses on the day of surgery. If there are eye problems, wear eye glasses instead.
  • Do not wear all kinds of jewelry, such as earrings, necklaces, rings, Jill on the body on the day of surgery. (If not removed, must inform the officer)
  • Stop smoking at least 4 weeks before and after surgery. Because the substances in cigarettes reduce the amount of oxygen in the blood and destroy cells that will repair wound healing Resulting in reduced blood supply to the surgical area With the opportunity to allow the skin that is undergone hypoxia Causing the wound to heal slower than usual And the risk of infection
  • Do not drink alcohol for 1-2 days before surgery. And continued for at least 1 week after surgery
  • Before surgery Patients need to clean their fingernails and toenails thoroughly. Refrain from nail polish, pedicure and all nail extension.

POST OPERATIVE CARE

  • Compress a cold cloth or ice bag for the first 1-3 days around the area where the nose tape is attached. (Do not hit the part with the tape.)
  • After doing the nose for 24 – 48 hours, may feel a headache. Nasal pain Swelling around the face To take painkillers And have to take antibiotics as prescribed by the doctor
  • The nose may be the most swollen for about 2-3 days. The wound can be removed from the plaster. Sheep can be removed at the end of 7 days by using warm water. Gently wipe and peel off gently.
  • After the 7th day after removing the plaster To warm the swelling area
  • After doing the nose for 3 days – 1 week, can go to work, but must avoid some activities that are highly exercised, such as running, swimming, having sex. Should avoid snot, rubbing the nose, bowing for a long time, lifting heavy objects
  • In general, the nose will collapse, swell and enter for about 3 months or more, which will collapse about 60% in 1 week, collapse 80% in 1 month, collapse, swell and enter at 90% – 100% in 3 – 6 months
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