First, we need to identify the cause of your nasal alar concerns before choosing the type of surgical incision.
1. If the Cause Is a Wide Nasal Sill
Correction : Nasal sill reduction narrows the nostril base according to its existing width. It may involve internal or external incisions, although surgeons generally favor an internal incision for this approach.
2. If the Cause Is Flared, Large, or Wide Nasal Alae (Wide Alar Base / Alar Flaring)
- Excessive Alar Flaring
Correction : Surgical reduction of alar thickness (Alar Rim Reduction). - Excessively Thick Nasal Alae or Nostril Rims (Thick Alar Rim)
Correction : Surgical reduction of alar thickness (Alar Rim Reduction).
3. When the Nasal Alae Flare Noticeably During Smiling (Smiling Test Positive)
In this situation, alar reduction alone may offer limited improvement because the flaring is also influenced by the muscles around the lips and the muscles that elevate the upper lip and mouth corners.
4. Temporary Reduction of Nasal Flaring with Botulinum Toxin Injections
The doctor injects the nasal dilator muscles that contribute to nostril widening. Reducing their activity may temporarily lessen nasal flaring.
Clear communication between the patient and surgeon is important for establishing expectations about nasal tip refinement and alar reduction. Patients should consult a doctor for a detailed examination and assessment before deciding to undergo surgery.
