What is an Alar Base Reduction?

An alar base reduction, also known as nostril reduction surgery or an alarplasty, is a rhinoplasty procedure that narrows the width of the nostril base, decreasing the nostril size and amount of nostril flaring.

Alar Reduction Rhinoplasty

Patients who qualify for an alar base reduction have a broad alar base, or lower portion of the nose. This alar nose base causes nostrils to flare and spread across the cheeks. This procedure is designed to improve the shape and dimension of the nostrils.

The alar base reduction only focuses on the base of the nostril, while other nostril reduction surgeries can target the outside edge of the nostril. When the nostrils are flared and wide due to a wide ala, an alar reduction is the necessary procedure.

The surgeon will make an incision in the crease of where the nostril meets the cheek. A wedge of nostril wall is removed, and then the incision is sewn shut. The alar reduction scar will hide in the crease of the nose, and the nose will appear smaller and narrower. In order for the nose to appear natural, it must be in balance with the patient’s other features proportion and shape wise.

This procedure is performed in the office under local anesthesia and it takes about an hour to complete. Alar base reduction cost depends on the surgeon and location, but typically costs between $2,000 and $4,000. Be sure to consult an experienced facial plastic surgeon with experience in alar nostril reduction. It’s possible to perform this procedure alone, or as a part of a rhinoplasty. Communicate your nasal goals with them, and they will help you achieve your desired nasal results!

Schedule an initial consultation today with Dr. Menachof.

Alar Base Reduction Before and After

In the photo below, you can see the difference in nostril size before and after the alar base reduction.

Alar reduction before and after

Alar Reduction Healing

Healing times vary from patient to patient. Usually, about five to seven days after the alar nostril reduction, patients will return to the surgeon to have their stitches removed. Patients can expect to have a tiny, visible line in the nostril-cheek crease throughout the alar reduction scar healing process, that will gradually fade away. Once the scar is closed, you can conceal it with makeup, but luckily, the scars are placed in naturally camouflaged places that eventually, no makeup will be needed.

There may be some redness around the scar for the first two weeks of healing. Any major alar base reduction swelling will decrease after the first three weeks, but the remainder can take up to a year to subside.

You can resume day-to-day activities a day after the surgery and you can resume light fitness activities two weeks after surgery, but do not strain yourself. Many patients feel comfortable in public about two weeks after surgery.

Be sure to consult an experienced surgeon if you have concerns about your nasal shape. He or she will be able to make a plan so you can achieve those results. Do your research when looking for a surgeon – look into the alar reduction cost and their alar base reduction before and after photos – you want to be confident in your surgeon’s rhinoplasty ability as well as their eye for well-executed facial changes. If you are concerned about the alar base reduction pain or the alar base scar revision process, don’t be afraid to ask! Your surgeon is there to support you throughout the entire process.

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