ALAR BASE REDUCTION
what is ALAR BASE REDUCTION
Alar base reduction, also known as nostril width surgery, is a surgical procedure that may be performed to alter the width or shape of the nostrils.
This procedure focuses on the alar base, which is the area where the nostrils meet the cheeks. It may be considered by people who have concerns about nostril width, nostril flare, nostril asymmetry, or the balance between the nostrils, nasal tip, and surrounding facial features.
Alar base reduction may be performed as a standalone procedure or as part of a broader rhinoplasty plan. The appropriate approach depends on the individual’s anatomy, nasal function, skin type, scarring tendency, and treatment goals.
A consultation is required to assess whether alar base reduction is appropriate and to discuss the potential risks, benefits, limitations, and alternatives.”
about the procedure
Alar base reduction is planned according to the individual’s nostril shape, nasal base width, facial proportions, and breathing function.
The procedure may involve removing a small amount of tissue from carefully selected areas around the nostril base. The incision placement and technique vary depending on the surgical plan and the patient’s anatomy. Sutures are then used to close the incision and support healing.
In some cases, alar base reduction may be performed under local anaesthesia. In other cases, it may be performed under general anaesthesia, particularly when combined with other nasal surgery. Your surgeon will explain the most appropriate approach during consultation.
Nasal function is an important part of planning. Reducing nostril width too much may affect the nasal airway, so the procedure should be considered carefully in relation to both appearance and breathing.
who is suitable?
Alar base reduction may be considered by people who have concerns about the width, shape, or symmetry of the nostrils. Suitability depends on the individual’s nasal anatomy, skin quality, scarring tendency, breathing function, medical history, and expectations.
A person may consider assessment for alar base reduction if they:
- Have concerns about wide or flared nostrils
- Have nostrils that appear asymmetrical
- Feel the nostril width is not in balance with the nasal tip or other facial features
- Are seeking assessment for a concern mainly involving the nostril base
- Have realistic expectations about what surgery may and may not achieve
- Understand that scarring, healing, and final appearance vary between individuals
- Are in good general health and able to undergo surgery and recovery
Alar base reduction is not suitable for everyone. In some cases, changing the nostril base alone may not be appropriate for the overall nasal shape or function. A consultation with an appropriately qualified health practitioner is required to assess your individual circumstances.
RECOVERY
Recovery varies between individuals. In general:
- Mild swelling, bruising, or tenderness may occur after surgery
- Sutures may be present around the nostril base
- Some patients may need time away from work, study, or normal activities
- Strenuous activity should be avoided for the period advised by your surgeon
- The incision area should be cared for according to post-operative instructions
- Scars usually change over time, but scar appearance varies between individuals
- Follow up appointments are important to monitor healing
Final appearance may take time to settle as swelling reduces and the tissues heal.
RISKS
As with any surgical procedure, alar base reduction carries potential risks. These may include, but are not limited to:
- Infection
- Bleeding or haematoma
- Scarring
- Poor wound healing
- Changes in skin sensation
- Nostril asymmetry
- Changes in nostril shape
- Overcorrection or undercorrection
- Nasal tightness or breathing changes
- Dissatisfaction with the outcome
- Need for revision surgery
- Adverse reaction to anaesthesia
Your surgeon will discuss the relevant risks, recovery process, alternatives, and limitations during your consultation.
BEFORE & AFTER
IMPORTANT INFORMATION

Individual Assessment
Every patient requires a personalised consultation to determine appropriate treatment planning.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
For more detailed information about potential risks, recovery and post operative care, please visit rhinoplastysydney.com.au/disclaimer/



