Variations in nasal width and nostril shape can be influenced by genetic background. Alar base reduction may be considered in individuals where the width of the nostrils is disproportionate to other nasal features.
Dr William Mooney notes that alar base reduction can be performed either as part of a formal rhinoplasty or as a stand-alone procedure, and in selected cases may be combined with other nasal treatments. The procedure focuses specifically on modifying the base of the nostrils and does not involve alteration of the nasal bridge or tip unless otherwise indicated.
Following a detailed consultation, assessment and photographic analysis are undertaken. The procedure is typically performed under local anaesthesia, with precise removal of a small amount of tissue at the nostril base and closure using sutures.
Alar base reduction considers both nasal appearance and airway function. Suitability, technique, and expected outcomes are discussed during consultation. All surgical procedures carry risks, which should be carefully considered before proceeding.
