Yes, I'll wait until I'm one year post op and consult with a rhinoplasty surgeon. It's just that I really don't like the alar base reduction procedure because of the scarring and nostril size reduction. I'm just pissed because I never had a problem with my nose before this and it was one of my best features.
I still have hopes it'll get better or tolerable with time since that's what's been happening as the swelling goes down.
I associate the alar cinch with it being done DURING a maxfax surgery when the incision (inside the mouth) for displacing the maxilla is OPEN.
I guess nothing stops your maxfax from re-opening that incision to to do an alar cinch. But do you really want to re-open that incision inside the mouth to get a suture that-by the way-has a potential risk of eventually cheese wiring through the tissues it tightens up.
Scars to bring in the ALARS to REDUCE THE NASAL BASE are well hidden in the crease. Being outside, they are at lower risk of infection than those inside the mouth.
BOTH the alar cinch and alar resection/reduction are alar base REDUCTION techniques. The former is aimed at mitigating widening that comes along with maxillary advancement as in making the wideneing less than it would be without it and usually done along with the subperiosteal dissection that is part and parcel of the surgery they are doing on the maxilla at the TIME the incision is OPEN for them to do it. So, the former is a maxfax technique usually done DURING the initial surgery as a 'preventative' measure to tackle EXCESS widening. The latter is a rhino technique to bring in the alar rims when they are too wide for the face.
BOTH reduce nostril size. When the alar base is made wider via max. advancement, the nose holes get wider too.
Not sure where you come up with the 'idea' or assumption that ONLY the alar base reduction procedure (resection of the alar rims and bringing them inward) reduces nostril size but the alar cinch doesn't. Only to say that IF you DON'T want any nostril size reduction, then DON'T get EITHER.
Neither are likely to make your nose look 'just like it did' before you got any maxfax surgery. Although a rhino can improve your nose and address complaints of excess widening, it's unlikely that your nose will look 'just like' it did before any maxfax surgery because EVEN IF they gave the SAME nose, it would look different on the face because the face proportions have changed due to the bimax surgery.
