The pyriform aperture is the triangle that the nostrils and nose tip form when the nose is seen from beneath. The surgeon will make adjustments to the pyriform aperture to decrease the width of the nose tip.
They can narrow the width of the nose by making the angles of this triangle steeper at the point where the nostrils link to the face. Plastic surgeon Dr. Paul McCluskey provides rhinoplasty to patients in Atlanta, Buckhead, Georgia, and surrounding locations.
Nasal Base Reduction
Nasal base reduction refers to a nose reshaping technique that decreases the width of the nose base in patients who have an excessively broad nasal base relative to the structure of their face. This procedure, in some variation, is usually a standard element in rhinoplasty and revision rhinoplasty procedures.
The nasal base reduction is undertaken even more commonly in ethnic rhinoplasty. Rhinoplasty patients of Asian, African American, and Middle Eastern heritage frequently need to undergo nasal base reduction.
In general, people of these ethnicities tend to have a wider nasal base. Therefore, a reduction of this area is necessary to achieve an aesthetically desirable nose appearance.
Many patients seeking rhinoplasty or revision rhinoplasty express concerns regarding their excessively large or broad nasal base. The nose base is usually measured from the outer margin of one nostril to the outer margin of the other.
Ideally, the width of the nose base should not be more than the distance between the eyes. If there were an imaginary line extending vertically down from the eye corners (inner canthus) on either side, the nasal base should fall between these two lines.
But it is important to understand that this is the cosmetic ideal for a Caucasian nose, and may not be suitable for ethnic patients. Most ethnic nose surgery candidates will achieve optimal results if the nasal base is slightly broader than this ideal.
Anatomy Involved In Nasal Base Reduction
The surgeon should possess an in-depth understanding of the anatomy of the nasal base area to decide on the surgical treatment for individual rhinoplasty patients. The columella is the column-like structure found in the middle of the nose base.
It bifurcates the nostrils into left and right parts. The alar base insertion is the part of the nostril wall that links to the upper lip-cheek juncture. The nasal sill area is located between the alar base insertion point and the columella.
A Wide Sill Region
Certain nose surgery patients with a broad nasal base also tend to have a wide sill area, which makes the nose appear even broader. An excessively broad sill can create a more horizontal type nostril shape. This is commonly seen in patients with a wide nasal sill.
What to Expect after Reduction Rhinoplasty Surgery?
Reduction rhinoplasty surgery involves the same recovery period and strategies as any other rhinoplasty surgery. Following the procedure, the patient will experience swelling and discomfort for a number of days as the nose and the surrounding tissues begin to heal.
The bruising will subside slowly, and the swelling will resolve as the nose area heals. The rhinoplasty results will manifest slowly, and the patient can return to their normal routine slowly following the recovery period.
Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for rhinoplasty.
For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:
Serving patients in and around Atlanta, Buckhead, Roswell, Marietta, Georgia and surrounding areas.