The ideal nose seems to be a triangle shape with symmetrical nostrils; that is, the nostrils are in proportion with the rest of the nose and overall facial features. If the size of nostrils is large or wide, alar reduction may be considered to correct the width. This surgery is also known as Alarplasty. During the surgery, small incisions are made either on the outside or inside of the nose in the alar where the nose connects with your cheeks. After that, some specific amount of tissue on both sides is removed to tighten the span of wide nostril, and the incision is sutured to finish the procedure. 

Alar Reduction is normally done using local anesthesia and because there is no cutting of bone and cartilage; hence, the recovery time is faster compared to rhinoplasty. 

Preparation

Physical examination will be conducted to determine patient general health. The suitable candidate should be non-smokers with good health. As same with rhinoplasty and other cosmetic procedures, patient is required to avoid aspirin and brufen-containing medication, smoking and drinking alcohol for two weeks prior to surgery to get rid of the chance of post-operative bleeding and other complications.

Post-operative care

After your alar reduction surgery, you will experience nasal swelling, congestion and pain which can be managed by cold compress, pain medications prescribed by the physician and sleep with your head elevated. You should also avoid rubbing your nose, blowing your nose, bending over or lifting heavy things for at least one week.

Risks

Alar reduction poses some risks including infection, bleeding, and reaction to anesthesia. Structural damage to the nose and excessive reduction can also occur to the patients.