Having an attractive nose is a pleasure that many individuals miss out on. This is because these individuals suffer from a particular cosmetic problem: the presence of a wide or large nasal base.
As for what makes for a wide nasal base, there is no completely objective answer. To determine this proportion issue, surgeons often use a method that involves drawing an imaginary line from the internal border of the eyes to the external border of the nostrils. If the nostrils lie outside this imaginary vertical line, they are considered to be wider than normal.
Fortunately, there are cosmetic procedures to correct this issue. By surgically removing some of the extra nasal base during a rhinoplasty procedure, it is possible to significantly reduce the width of the nose in the lower regions.
There are two very effective techniques that a skilled surgeon can use during rhinoplasty surgery to help in achieving a narrower nasal base: the Weir excision technique and the nasal sill excision technique. Each of these rhinoplasty techniques has its own particular benefits. Let’s take a look at how each of these techniques is carried out.
The Weir Excision Technique
For some people, reduction of the nasal base requires a reduction of the nostrils. This is often the case with ethnic rhinoplasty patients. The solution to this is a Weir excision procedure.
The Weir excision procedure basically involves removing a section of tissue from the base of the nostrils. The procedure is done from the inside of the nostrils (making it a closed rhinoplasty technique), unlike an alar base reduction. This prevents the post-surgical marks from being visible on the outside.
A Weir excision can be used to shorten the length of the nostril sidewalls, shorten the width of the nostril bases, and even reduce the size of the nostrils. The specific result is determined by the particular design approach used for the wedge excisions, and this will vary from case to case.
Nasal Sill Excision
In a nasal sill excision, skin is excised from the nasal sill or the nostril floor. This procedure is highly effective on those who have a very wide nasal floor. Even flared nostrils can be treated using this procedure.
The incision designs can vary from being diamond shaped to rectangular to triangle shaped.
This procedure requires more care to be given when suturing the area.
Combining These Techniques
In some cases, a combination of the Weir excision and the nasal sill excision is carried out. This is usually done to reduce the width of the nostril area appropriately. Also, when a significant amount of narrowing is required, the combination approach is used.
Speak with Dr. Nassif
To learn more about the Weir excision, the nasal sill excision, and the combination of these techniques, speak with surgeon and rhinoplasty specialist Dr. Paul Nassif. Dr. Nassif will evaluate your nasal anatomy and determine which rhinoplasty option best suits your needs. In order to arrange a consultation with Dr. Nassif, it is best to contact our office and schedule an appointment.