Rhinoplasty usually brings to mind corrections to the bridge or tip of the nose. But for some individuals, the nostrils are the source of insecurity. Nostril show is influenced by the position of the nasal tip, position of the columella (the fleshy part between the nostrils), and arch of the nostrils.

Common Nostril Concerns

Ideally, the nasal tip should project straight out from the face, the columella should hang down a little lower than the nostrils, and the nostril margins should have a gentle arch. Below are 3 examples of common irregularities that cause individuals to seek out nostril reshaping rhinoplasty.

How Is Nostril Reshaping Rhinoplasty Performed?

For wide, flared nostrils, Dr. Patel starts by assessing and correcting the position of the nasal tip. Adding projection to an under-projected nasal tip will, in itself, reduce nostril flaring. In cases where the nasal tip is over-projected, nostril tissue is removed at the nostril crease. In those with wide nasal sills, the tissue is removed from the sill region. These maneuvers create a more triangular appearance to the base, and the incisions are concealed in natural creases.

For an overly arched nostril, which results in too much nostril show, the nasal tip cartilages may be manipulated, or cartilage grafts may be used to further drive the nostril margins downward. Cartilage grafts may also be placed into the rims of the nostrils to help straighten them from an overly arched configuration. In cases where scarred skin prevents downward movement of the nostril, ear cartilage grafts are used to extend the tight skin and cartilage that are pulling up on the nostril.

For a hanging columella, we trim and tighten the hanging components, tucking the columella upward into the nose.

For a retracted columella, which results in too little nostril show, we can place a cartilage graft through incisions inside the nose that will push the columella downward. Removal of excess nostril tissue treats nostril hooding.

Before & After Nostril Rhinoplasty Photos

This patient had nostrils that appeared more visible due to a hanging columella. A tip rhinoplasty was performed to retract the columella and refine the nasal tip.