Alar Base Reduction (Nostril Reduction)

Alarplasty can help to reduce the appearance of nasal flare

Alar base reduction, also known as alarplasty or nostril reduction surgery, is specifically designed to adjust the size of the nostrils and the width of the nose.  If you are concerned about flared nostrils or a wide nose, then alarplasty could be suitable. The most desirable new shape is one that has well-proportioned nostrils, which are in harmony with the overall structure of the nose. Rhinoplasty surgery or nose job is one of the most commonly requested cosmetic surgery procedures at Centre for Surgery. A nose job is a broad term that can describe many different types of surgical procedures performed on the nose, including septoplasty or tip rhinoplasty.  Although alarplasty is a less invasive surgical procedure, it has the potential to transform the appearance of the nose significantly.

The appearance of the human nose and its aesthetic ideal has often changed throughout history, with desirable nose shapes changing over time based on society’s views and attitudes on beauty. The nose has always occupied a prominent part of the face with a significant influence on facial features and therefore comes as no surprise that the nose is considered one of the most important aspects of facial harmony and beauty. Our expert rhinoplasty surgeons in London have many years of experience performing all types of rhinoplasty surgery, including alar base reduction and alarplasty surgery. Learn more about alarplasty for reducing wide nostrils.

What is Alarplasty (Alar Base Reduction)?

Alarplasty is also known as nostril reduction surgery or alar base reduction and is designed to alter the width and shape of the nostrils. The alae are used to describe the part of the knows where the nostrils take on a rounded appearance and extend laterally onto the cheeks. The optimum aesthetic appearance of the nose has been determined based on carrying out hundreds of measurements on a wide variety of different people’s noses. Most experts agree that the width of the nose should match the width of the area between the eyes which is also equivalent to approximately 1/5 of the width of your face. If the width of the nose extends beyond this, many people may feel their face has reduced facial balance and diminished aesthetic beauty.

Alar base reduction is most commonly requested to alter the size of excessively wide nostrils. The shape of the nostrils can also be surgically altered. The nostrils can be increased or decreased in width, and many functional concerns can be corrected including breathing difficulties and procedure may be combined with a septoplasty or tip rhinoplasty for improvement of nasal airflow obstruction. Alarplasty is a type of rhinoplasty procedure and can be performed on its own or combined with a full rhinoplasty procedure for the correction of many different types of nasal concerns.

Alar base reduction, also known as an alarplasty or nostril reduction is a type of rhinoplasty surgical procedure designed to reduce the size of the nostrils. The procedure involves the surgical removal of a small wedge-shaped area of skin which results in smaller and narrow nostrils which are more symmetrical. At Centre for Surgery, we have our own day surgery facilities at 95-97 Baker Street. We do not use ‘third party’ providers and are therefore able to provide the highest standards of care.

Wide nostrils can lead to distortion of facial features when they are out of proportion to the rest of the nose which means that other areas like the cheek, mouth or eyes may lose prominence. When the nose is viewed from below, the nose base takes on a triangular shape. The ideal shape of the nostrils should involve a gentle outward curvature between the tip of the nose and the alar crease which is where the alae join with the cheeks. If there is an excessive outward curvature, the overall facial aesthetic balance can be disrupted and this may be a cause of concern for many people with excessively wide nostrils.

Alar base reduction for wide nostrils is commonly requested by people from certain ethnic backgrounds. If you feel your nostrils are too wide and are having an adverse impact on your facial appearance and self-confidence, you may be an ideal candidate for nostril reduction or alarplasty surgery.

The nose is the central feature of the face and therefore has a large contribution to the overall balance of facial harmony. If you are unhappy with all your nose and nostrils look, you may find you are feeling less confident about yourself and with a reduction in emotional well-being. Alar base reduction is a much less invasive procedure compared with a traditional Rhinoplasty. It is very difficult for anyone to notice whether you have had a cosmetic surgery procedure but almost certainly will remark upon how sculpted and contoured your nose looks.

Nostril reduction surgery is ideal for patients who are looking to:

• Narrow the width of their nostrils to better match their overall facial features
• Correcting asymmetry between both nostrils
• Improve breathing through the nose if there is nasal airflow obstruction
• Enhance their facial features
• Improve self-confidence with a possible increase in emotional well-being

For patients who feel their nostrils have an excessively wide or flared appearance or are concerned about the size of their nostrils then the nostril reduction procedure can be highly effective.

The alar region of the nose refers to the area that joins the face to the nostrils. They have a wide variety of appearances and can appear shorter or taller or thinner or thicker which is dependent on one’s natural facial shape. The nostril reduction procedure focuses on removing a small wedge from the alar region which helps to reduce the broad appearance of the nose. Many patients may have already had a previous rhinoplasty procedure and wish to fine-tune the results even further.

Alar base reduction is quick procedure to carry out with the ability to transform your facial features instantly. The type of nostril trimming technique chosen by your surgeon will depend on the shape of your nostrils and your goals for treatment. Alarplasty surgery is easily carried out under a local anaesthetic as the procedure is less invasive compared with a full rhinoplasty procedure. As with all procedures at Centre for Surgery, nostril reduction is a day case procedure which means will be admitted and discharged on the same day which allows you to recover in the comfort of your own home.

If you choose to have a general anaesthetic, you should ensure you have a responsible adult to collect you after the procedure is complete and look after you for at least the first 24 hours after your procedure. In most cases, a general anaesthetic is not required, if the procedure is not combined with an open rhinoplasty.

Your surgeon will first carefully mark the area with a marker pen. These markings form the basis for the area of skin that will be removed as part of the nostril reduction procedure. Local anaesthetic is then injected into the areas which are surgically marked. After a sterile prep and drape of the area, your surgeon will carefully place incisions in the area of the surgical markings to remove the wedge of tissue. The Surgeon will usually make the incision in the alar crease to minimise any possible scarring after alarplasty as the incision will be concealed in your natural skin folds. After the wedge of soft tissue has been removed at the alar base, the surgeon will perform fine cautery to seal any small blood vessels and minimise postoperative bruising. Final adjustments are often made to your nostril shape prior to re-attaching the nostrils back to their base followed by closure with dissolvable stitches.

The surgical site is then covered with a sterile dressing. The post-operative nursing team will monitor you until you are medically fit for discharge. A prescription for post-operative antibiotics and painkillers will be given to you by your surgeon. You will see one of our post-operative nursing team at one week for a wound check.

Nostril reduction surgery is most commonly performed under local anaesthesia or under a general anaesthetic if combined with a full rhinoplasty. Alarplasty takes approximately one hour to carry out and you will be allowed to go home soon after your procedure once the post-operative instructions have been explained to you. It is normal to experience mild bruising and swelling in the first few days after alar reduction surgery. Any pain or discomfort should be minimal and easily controlled with over-the-counter painkillers. Bruising and swelling will start to settle down after five or six days. It is normal to experience minor oozing from the incision sites and this will resolve completely after 48 to 72 hours. You’ll be reviewed at one week by one of our post-operative nurses and stitches will be removed and the incision site will be inspected to make sure everything is healing properly. Most patients report no pain by the end of the first week and any bruising and swelling has either gone or reduced substantially by the end of the first week.

Unlike rhinoplasty surgery, alar base reduction does not involve surgical alteration to the nasal bone which helps to significantly reduce any potential bruising, swelling or discomfort as well as ensuring a much quicker recovery. The average recovery time after alar base reduction is approximately two weeks with most patients returning to their normal activities by the one-week stage. Compared with other parts of the face, the nose is more prone to developing prolonged swelling due to its highly vascular nature. Any persistent swelling usually takes between three and six months to fully resolve. The scars after nostril reduction surgery are barely noticeable due to their location within the nasal skin folds even straight after the alar base surgery. Our post-operative nursing team will be able to advise you on optimal scar management strategies to make sure your scars completely fade with time.

What should you not do after Alarplasty?

Alarplasty, or alar base reduction surgery, is a cosmetic procedure that aims to reduce the size of the nostrils. Proper postoperative care is essential to ensure a successful recovery and minimize the risk of complications. Here are some things that you should not do after alarplasty:

1. Touch or pick at the surgical site:
2. It is important to avoid touching or picking at the surgical site after alarplasty to reduce the risk of infection and scarring.
3. Engage in strenuous activities:
4. Strenuous activities such as exercise, heavy lifting, or any activity that increases blood pressure can increase the risk of bleeding and impact the healing process. It is best to avoid any strenuous activities for at least two weeks after the surgery.
5. Wear glasses or sunglasses:
6. Wearing glasses or sunglasses that rest on the nose can put pressure on the surgical site and impact the healing process. It is best to avoid wearing glasses or sunglasses for at least two weeks after the surgery or until the surgeon gives clearance.
7. Smoke or use tobacco products:
8. Smoking and tobacco products can impair the body’s natural healing process, increase the risk of infection, and impact the healing of the surgical site. It is best to avoid smoking or using tobacco products for at least two weeks after the surgery.
9. Expose the surgical site to direct sunlight:
10. Exposing the surgical site to direct sunlight can increase the risk of scarring and hyperpigmentation. It is best to avoid exposing the surgical site to direct sunlight for at least six weeks after the surgery or until the surgeon gives clearance.
11. Miss postoperative appointments:
12. Postoperative appointments are essential to ensure a successful recovery and address any concerns or complications that may arise. It is crucial to attend all postoperative appointments as scheduled by the surgeon

When will I start to see alarplasty results?

Having your nostril reduction surgery carried out by an expert rhinoplasty surgeon means your healing and recovery will be rapid and this means your results will be noticeable after only one week. The vast bulk of any bruising and swelling will be fully resolved after one week. Most patients can then begin to enjoy the results of the alar base reduction procedure with a significant boost in self-confidence.

After two weeks, most of our patients have enough confidence to start taking photos of themselves including selfies. We hope you will be looking forward to the positive remarks others will give you once you are healed from the surgery. Although approximately 3 to 6 months are needed for all swelling to resolve, the vast majority of patients find they have no more swelling after only one month from their nostril reduction surgery.

Alar base reduction is a cosmetic surgery procedure that aims to reduce the size of the nostrils. Like any surgery, scarring is a natural part of the healing process. However, there are several ways to minimize scarring after alar base reduction surgery. Here are some tips to consider:

1. Follow postoperative instructions:
2. Following the surgeon’s postoperative instructions is crucial to minimise scarring. This includes keeping the surgical site clean and dry, avoiding touching or picking at the incision area, and applying prescribed ointments or creams to aid in the healing process.
3. Avoid smoking:
4. Smoking can hinder the body’s natural healing process, and it can increase the risk of scarring. Avoid smoking or using any tobacco products for at least two weeks before and after the surgery.
5. Keep the incision site protected:
6. Protecting the incision site is crucial to prevent any injuries or trauma to the area, which can increase the risk of scarring. You may be advised to avoid activities that can cause any damage to the surgical site, such as vigorous exercise, for a few weeks.
7. Massage the incision site:
8. Massaging the incision site can help to break up any scar tissue that may have formed and reduce the appearance of scarring. Your surgeon may recommend certain massage techniques to help speed up the healing process.
9. Use silicone sheets:
10. Silicone sheets are adhesive sheets that can be placed over the incision site to help reduce scarring. These sheets are designed to help keep the area moisturized and protect it from bacteria and other harmful elements.
11. Consider laser treatments:
12. Laser treatments, such as IPL or PDL, can be used to reduce the appearance of scars after alar base reduction surgery. These treatments can help to stimulate collagen production and reduce the visibility of scars.

Alar base reduction is a commonly carried out procedure at Centre for Surgery and when performed by an experienced rhinoplasty surgeon, the risk of complications is minimal. Complications however can potentially occur with any surgical procedure, nostril reduction surgery is no different. There are many factors that will influence healing such as the thickness of the skin, smoking status and a number of other factors.

At the consultation, your surgeon will always take time to fully discuss the risks and complications associated with alar base reduction. By choosing Centre for Surgery for your alarplasty procedure, you can be confident in having highly experienced and expert rhinoplasty surgeons to perform your procedure and manage your aftercare.

Risks of alar base reduction include (but are not limited to):

• Surgical site infection
• Asymmetry
• Excessive scarring

When considering any type of cosmetic surgery, it is important to only consult with a fully qualified consultant plastic surgeon who is a specialist in all types of rhinoplasty surgery including alar base reduction. This will help to reduce the risk of complications significantly.

Does alarplasty affect breathing?

Alarplasty, or alar base reduction surgery, is a cosmetic procedure that aims to reduce the size of the nostrils. While the surgery is primarily cosmetic, it can have an impact on the patient’s breathing in some cases. Here are some factors to consider regarding the effect of alarplasty on breathing:

1. Type of Surgery: The type of alarplasty surgery performed can impact breathing. If the surgery is limited to the nostril rims, the impact on breathing is usually minimal. However, if the surgery involves the removal of the nasal cartilage or if it affects the nasal valve, it may impact breathing.
2. Surgeon’s Experience: The skill and experience of the surgeon performing the procedure can also impact the patient’s breathing. A skilled surgeon will take care to preserve the natural function of the nose and avoid any damage to the internal structures that can impact breathing.
3. Prior Breathing Issues: If a patient has pre-existing breathing issues, such as a deviated septum, turbinate hypertrophy, or chronic sinusitis, alarplasty surgery can exacerbate these problems and impact breathing.
4. Postoperative Care: Proper postoperative care is crucial to minimise the impact of alarplasty on breathing. Patients should follow the surgeon’s instructions closely, avoid strenuous activities, and keep the surgical site clean and dry to reduce the risk of infection.

Alar base reduction is also known as alarplasty or nostril reduction and is a type of rhinoplasty surgery. The total cost of surgery will depend on a number of factors, and an accurate costing will be given after your consultation with one of our surgeons.

What is included in my treatment package?

• As many preoperative consultations with your surgeon as you like to make sure the procedure is right for you
• Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
• Enhanced same-day discharge with the added benefits of recovering in your own home
• 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team
• Your very own dedicated patient coordinator
• In-depth preoperative medical assessment to make sure you are fully fit for the nostril reduction procedure
• Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face-to-face checks by our expert postoperative support team

Alarplasty, or alar base reduction surgery, is a cosmetic procedure that aims to reduce the size of the nostrils. Many celebrities have undergone this procedure to improve the appearance of their nose. Here are some notable examples:

1. Kim Kardashian: Kim Kardashian is known for her curvy figure, flawless makeup, and unique fashion sense. She has also been open about undergoing several cosmetic procedures, including alarplasty, to enhance her appearance.
2. Bella Hadid: Bella Hadid is a well-known fashion model who has undergone alarplasty to refine the appearance of her nose. She has been vocal about the procedure and how it has helped to boost her confidence and self-esteem.
3. Jihyo of Twice: Jihyo is a popular K-pop singer and dancer who has undergone an alarplasty to improve the appearance of her nose. She has been open about her decision to have the procedure and how it has helped to boost her self-esteem and confidence.
4. Megan Fox: Megan Fox is a famous actress who has undergone several cosmetic procedures, including alarplasty, to enhance her appearance. She has been vocal about her decision to have the procedure and how it has helped to improve the overall balance and proportion of her face.
5. Taeyeon of Girls’ Generation: Taeyeon is a popular K-pop singer who has undergone alarplasty to refine the appearance of her nose. She has been open about her decision to have the procedure and how it has helped to improve her self-esteem and confidence.

In conclusion, alarplasty is a popular cosmetic procedure among celebrities who seek to enhance the appearance of their nose. Many of them have been vocal about their decision to have the procedure and how it has helped to improve their confidence and self-esteem. It is essential to consult with a qualified surgeon and understand the risks and benefits of the procedure before making a decision.

Our highly experienced surgeons at Centre for Surgery have established a reputation in London for their ability to achieve optimal results using the latest and most innovative surgical techniques.

We take pride in the exceptional level of care and attention provided to all our patients, starting from the initial consultation.

Join the thousands of satisfied patients by scheduling a consultation with Centre for Surgery at your earliest convenience.

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14/10/2021

This was overall a great experience, all the staff at Centre for Surgery were friendly and put me at ease. It is a nerve wracking thing to go through an op but the staff were so nice. Mr Ertan has got a great team around him. On the day of the operation everything went smoothly to plan, there was no delay or holdups, I had another consultation with Mr Ertan who confirmed what was going to be done and that I was still happy to proceed. I was prepped for the procedure, I met with the anaesthetist who again was really nice and put me at ease explaining his role. After the procedure I woke up with the nurse by my side making sure I was OK and checking on me, I was able to stay in the clinic until I was ready to leave and was not rushed at all. I was well looked after from the start to the point when I was discharged. Post operation I was staying at a local hotel it was so close there was no point in even getting a taxi and I was able to walk back where my partner was waiting for me. I was expecting a lot of bruising to both my eyes but there was very little if any by the time the cast came off after 7 days, I am now at the two week post operation point and it is healing well with no outwardly visible bruising or scaring. The next milestone is a checkup at the 6 week point with my surgeon. If you're thinking of having something like this done I would highly recommend getting in touch with Centre for Surgery.

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