Yes. Good question. That pinched look can occur from two processes- 1. suturing the tip cartilages together too tightly, and 2. overdoing the alar base resection. In either case this can be prevented with an "alar rim graft" and corrected with such a graft or even ear cartilage if needed.
Love the technique, ive seen alarplasties done on other older youtube videos and they just cut horizontally rather than measuring 2 sides of the nostril and cuting into the sill, i feel like it preserves more of the patients natural face!
People are sometimes out of one's understanding they will appose you for doing such procedure but then they are the ones who will make you lose your confidence
your fam loves you so much, just talk to them about how you really want it to be done. don't hate your family🦋 you can be bold but also remember to be kind. love you 💘
Really fantastic video. Great that it has such technical details. Lots of great information and very interesting to watch from a layman point of view. Very professional and meticulous job
This was straight local anesthesia. For general, yes, we require some form of protecting your breathing, like a breathing tube. However, there is a middle ground- it's called IV sedation or conscious sedation. This is also an option.
@@jonathanzelkenmd Thanks for the answer. I'm thinking it happened to me as i noticed a clear difference post op, there was a hard crease right above the last alar stitch on each nostril that never really smoothed out
There is just something about this doctor and sometimes you just know. Does Doctor Z offer video consults? I'm located in Michigan and would love to have this done along with buccal fat removal. How soon after primary rhinoplasty can this procedure be done?
Caramel Mocha Again, thank you so so much I would definitely checking it out after the COVID-19 is over 😬🤞😬. Please DM me @ ghostofharleydavidsonMuseum
Hi. I had my Alarplasty yesterday and I am not sure if I am satisfied with the results or not because its still swelling on my upper lip. I just don’t want it to look unnatural on my face huhu
Thank you for replying, I appreciate this. I had it done here in the Philippines the left side of it looks droopy and I don’t feel good about it, I kinda miss my old nose but I am trying to be patient and wait for it. My only fear is if it doesn’t change its scary Im losing my confidence
@@edgarlouieque888 hey Im sorry but I dont want to name my Doc because shes been kind and my nose wasn't botched maybe its just not her specialty but there are a lot of good doctors here and I have been researching so that I can have a revision in the future once my nose is all good again. Right now my nose looks upturned which I dont like, if you are planning alarplasty I suggest that you do tiplasty as well or might as well just have a full rhinoplasty like an overhaul.
I recently just had this done. My surgery took 4 hours. But i'm glad i made my nostrils thinner...My nose looks longer though. i hope it's just swelling...
@@iTzShakenJoE Yes! Way too cheap! I know it costs like $2200 to $5000 in Mexico. Many people even died over there and other places with a price like that.
I agree, this can make a nose look horrible when done aggressively. It can also cause collapse of the nostrils. However- when done conservatively, thoughtfully, and with experience/technical expertise, it's hard to tell that anything was done (in a good way).
Thank you so much for this. I’m getting nostril reduction and wanted to know how it is done. It’s a lot more complicated than I thought. Thank you.
my pleasure
If you don’t mind me askin, are you black? Where did you yours done? And how’s your result a year later?
Thanks
I would really appreciate if you could put a before and after picture after swelling goes down.
That’s cool
had that done yesterday and I am already satisfied! can't wait to get the stitches removed
and now youre fine?
@@ancybernard694 Yes I am perfect now, thank you.
How much was it
What's the cost of the surgery????
How was it? I want to reduce the size of my nostril cuz is too big that is my only problem... How are you breathing?
Is there a way to prevent the triangle shape that the nostrils sometimes take on? Like Janet Jackson’s. I also see it a lot on Asian nose jobs.
Yes. Good question. That pinched look can occur from two processes- 1. suturing the tip cartilages together too tightly, and 2. overdoing the alar base resection. In either case this can be prevented with an "alar rim graft" and corrected with such a graft or even ear cartilage if needed.
Thank u doctor for replying. That is a fear and major concern I've had.
@@jonathanzelkenmd aà
Thank you for asking this. I have been watching alarplasty vids to learn how NOT to have Janet Jackson's nose shape.
Love the technique, ive seen alarplasties done on other older youtube videos and they just cut horizontally rather than measuring 2 sides of the nostril and cuting into the sill, i feel like it preserves more of the patients natural face!
Love that it's done under local.
Chevron as a great way of explaining the wedge
Very informative for people who are shopping for a surgeon.
Thanks Tanzi
@@jonathanzelkenmd where is your address?
I would love to see you! Definite a gift to myself. I wondered wat is pricing for an awake procedure?
Let's make it happen! We'd need to see you first to determine pricing but an awake procedure can range from 4-5K in many cases.
This is great it’s really looks natural can you tell us how much it’s cost please?
But is there no side effects to the body health after the surgery?
Is it sewed in the same place where it was before?
Yes
wonderful how much is alarplasty
My dream tho i cant afford and I dont know if it’s okay to my family.
I think it's not as expensive as a whole nose job reconstruction. Do whatever you like your family don't have the right to disagree
Fuck your family, do what makes you happy.
@@davidortiz7899 what's about money?...😂😂
People are sometimes out of one's understanding they will appose you for doing such procedure but then they are the ones who will make you lose your confidence
your fam loves you so much, just talk to them about how you really want it to be done. don't hate your family🦋 you can be bold but also remember to be kind. love you 💘
Wow, you did a good job!
The music 😂 I felt like I was sitting next to Dracula! incredible results!
The worst music I know
Please reply me how much cost of this surgery
Hi Heena please call us during business hours at 949-432-4730 to discuss pricing and such.
Good job Doc
Thanks for the diy
I would not recommend doing this yourself.
Hahaha
Amazing work! Im looking to get the same procedure in San Antonio. Any suggestions?
If you reduce the size of the nostril, will it affect the air flow that you need to breath ?
Potentially- great question. That’s why you can’t get too greedy with these
How much does this cost and do you have to be 18 or older to get this procedure
What does this cost?
Really fantastic video. Great that it has such technical details. Lots of great information and very interesting to watch from a layman point of view. Very professional and meticulous job
Pls my father also has bigger nostril like the woman and Mein have not come yet ,so what should I do or what can i do to prevent the big nostril
Was she on general anesthesia or local? If you want general anesthesia, do they have to get a tube down their throat?
No way on earth that is local!
This was straight local anesthesia. For general, yes, we require some form of protecting your breathing, like a breathing tube. However, there is a middle ground- it's called IV sedation or conscious sedation. This is also an option.
i had it done before but local anesthesia
@@sunnyduscle it's local
How much it cost and how can we do a consultation and how long this procedure will take is it ok to travel in the same day of doing the procedure?
Yes we can accommodate your wishes. Please call 949-432-4730 after 9am to arrange your virtual consultation and to discuss pricing.
how to know if we need alarplasty?
Nobody needs alarplasty- the question is do you want it?
Hi which sture materal and number was used?
If the alar stitches are placed with too much tension / too deep, can they alter / make worse the nasolabial fold?
Great question. Yes, it may be possible, but I haven’t seen this outcome.
@@jonathanzelkenmd Thanks for the answer.
I'm thinking it happened to me as i noticed a clear difference post op, there was a hard crease right above the last alar stitch on each nostril that never really smoothed out
Is this done under local or general anesthesia?
Either. In this case, local.
@@jonathanzelkenmd Thanks! Average cost?
Is se breathing with her nose during this procedure???
Yes she is awake
Thank you for posting! I definitely need to come see you.
We'd love to meet you. 949-432-4730 (weekdays after 9 PST)
There is just something about this doctor and sometimes you just know. Does Doctor Z offer video consults? I'm located in Michigan and would love to have this done along with buccal fat removal. How soon after primary rhinoplasty can this procedure be done?
Yes I do, and thank you. Please call 949-432-4730 to schedule your consult. I'd love to e-meet you!
So doctor i wanna come to u
I wanna do My nostrils reduction and also smaller tip and straight nose with a curve . How much does it cost?
Hi Mariam Id need to see you. Lets set up a consult-949 -432-4730
@Caramel Mocha I am sorry you feel this way. $1300 is an awesome price, especially for a top plastic surgeon! I do my best to contain my fees.
Caramel Mocha what is your surgeon's name..... That is a great price
Caramel Mocha thank you
Caramel Mocha she is an excellent surgeon
How much the cost for that
How long is d healing days?
Ty for d reply
It takes 7 days to remove stitches, 14 days until you can start skin and scar care, and 3 weeks until you have clearance to swim.
Nicely done..
Hoping to undergo d same way..
Thnx for d educational tutorial..
Question, does d cartilage will re-unite after then?
@@mrpaulchan1 thanks. Out on the sides there are no meaningful structural cartilages involved.
Thank you for sharing this
Is it possible to reverse weir excision to make your nostrils wider without scarring?
Slime Beno great question- not that I know of
Can you revise a nostril that was attached higher on one side with weir incision? Lower it to the base? Mines a couple millimeters higher
Yes. Of course I'd need to see you in person or by Skype to get a better idea.
@@jonathanzelkenmd Great! Do you handle a lot of revision rhinoplasty cases as well? I have thicker skin and my nose also droops and projects too far
you did great. i liked this video
How much is this? My problem is that my nostril is too big I m ok with the rest
How to prevent scar after did surgery?
you can prevent scarring .. it's done on the outside. you will see incision marks...
i want this procedure but i’m scared of the outcome cus what if it would look weird and unatural u wont be able to go back
Thats a valid concern
Very good job.
Awesome procedure Dr. 👍❤️👍 How much is something like this cost? Thank you!
Caramel Mocha awesome, Thank you so much for taking the time to respond. ❤️
Caramel Mocha Again, thank you so so much I would definitely checking it out after the COVID-19 is over 😬🤞😬. Please DM me @ ghostofharleydavidsonMuseum
Where this doctor it???😊😊
California
This looks very good. I need this badly and want to have a consult.
Thanks. Please call (949) 432-4730 to set up a consultation.
is this type of rhinoplasty is open or closed& permanent or temporary???
pls reply this question, tnk u
Hi Jeevit. It is permanent and open in the sense that visible scars can be seen.
i had it done before but I have to do it again cause my nose is still wide
how bad was the pain during the procedure and recovery?
did it last June 11 - no pain at all since u taking a anti pain killer - just careful not to hit it like when u wash your face
@@stormthehusky960 got it thanks!!
prices
Hi. I had my Alarplasty yesterday and I am not sure if I am satisfied with the results or not because its still swelling on my upper lip. I just don’t want it to look unnatural on my face huhu
Hi there. Keep us updated on the results. Not sure where you had it done, but the swelling goes away
Thank you for replying, I appreciate this. I had it done here in the Philippines the left side of it looks droopy and I don’t feel good about it, I kinda miss my old nose but I am trying to be patient and wait for it. My only fear is if it doesn’t change its scary Im losing my confidence
@@Mimi-hg9kz hope ur doing fine.... May I know who's ur rhino doc? Planning to have it too back home once flights roll out....
@@edgarlouieque888 hey Im sorry but I dont want to name my Doc because shes been kind and my nose wasn't botched maybe its just not her specialty but there are a lot of good doctors here and I have been researching so that I can have a revision in the future once my nose is all good again. Right now my nose looks upturned which I dont like, if you are planning alarplasty I suggest that you do tiplasty as well or might as well just have a full rhinoplasty like an overhaul.
@@Mimi-hg9kz
Why do you recomend tip plasty as well?
Are the cost significantly lower if you do it awake? Just curious.
Yes, because there are no OR or anesthesiology fees, which comprise about 1/3 of the cost.
Yes, insofar as you do not need to pay for anesthesiology and OR fees.
LOL
I recently just had this done. My surgery took 4 hours. But i'm glad i made my nostrils thinner...My nose looks longer though. i hope it's just swelling...
Very well may be!
Also, you dont need to be put asleep. Just local anesthesia would do. he put her asleep to present her a bigger bill.
She was not done asleep. This was awake under local anesthesia. :)
Great difference
Hey, where abouts are you located??
Newport Beach, CA
How much is this
not that much. I had it done...
@Caramel Mocha Idiot!! don't do iitttt .. that's way too cheap! you will have a botched nose!!! don't pleaseeeeeeeeeeee
Caramel Mocha with this doctor??
@Caramel Mocha Oh yes Yosef Roth is right! That is very cheap to get your nose done. We don't want you ruining your nose!
@@iTzShakenJoE Yes! Way too cheap! I know it costs like $2200 to $5000 in Mexico. Many people even died over there and other places with a price like that.
Where are you doc
Great video but the church/funeral chapel music was an interesting choice. 😂
The worst. I know.
What is her nationality ?
How much cause
Its best to call 949-432-4730 to discuss as prices depend on many factors
Sir May clinic kayo D2 sa Manila
I had this done!!!! :)
Did you any problems? Are you breathing well? Do you Like the resultas?
@@MA-yc7pz No breathing issues, and I have the best results! I'm so happy with my decision.
Now I know that there's a cheaper way to get smaller nostrils
Amazing nose shape. Thank you :)
The nostril thing is what makes a nose job look unnatural
I agree, this can make a nose look horrible when done aggressively. It can also cause collapse of the nostrils. However- when done conservatively, thoughtfully, and with experience/technical expertise, it's hard to tell that anything was done (in a good way).
what do you mean? the results are great
I am pretty sure that this patients scar will be little hypertrophic due to her scars from upper eyelid. 😔
Great observation but it healed very well.
Great video. Could have done without the Frankenstein music, lol
So true lol
I want this to be me so bad. I gotta do this.. my nostrils are flared and thick :(((
We should set aside time to meet and discuss your goals.
I love
Go
That music sounds like a funeral chapel.
Agreed
im eating, why am i watching this
This is a great question!
sial ngeri pulak aku tgok...rsa ngilu
I felt like he talked much too much.
I definitely do talk a lot
How much Doc? Y no me andes con mamadas
Jaja
How much is this? My problem is that my nostril is too big I m ok with the rest
Massiel Acosta Marchena hi there. Please call us at (949) 432-4730 to set up a virtual consultation:)