What is an Alar Base Reduction?

Doctor Answers 14

Alar base reduction in rhinoplasty

Alar base reduction is used when the size of the nostrils are disproportionally enlarged relative to the nasal tip and also the position of the eyes. The nostril can be addressed with alar base reduction when the nostril is flared due to a wide nasal base, or the nostril can be narrowed with alar wedge excisions when the nasal base is not particularly wide but the nostrils are large and flare.


Chevy Chase Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

This is part of rhinoplasty

 The alar reduction refers to the reduction of the nostrils. This part of the rhinoplasty is not done on all patients. If you have nostril flaring or wide base, this may help you. 

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.5 out of 5 stars 78 reviews

What is an alar base reduction?

The lower aspect of the nose consists of the tip of nose as it blends with the nostrils. Typically we want to see a soft triangular tip that blends nicely with the nostrils. We don't want the tip or the nostrils to be too wide or pinched. Most people also do not like too much flaring in the nostrils. An alar base reduction is a technique that reduces the size of large or glaring nostrils. With this technique, we can narrow the nostrils, reduce nostril flaring, and/or correct asymmetry of the nostrils. For most of my patients, I usually also recommend addressing the tip of the nose to create a balance and harmony in the final result. Alar base modification is typically utilized in African-American, Asian and Hispanic patients, but is also commonly done in Caucasian and Middle-Eastern (Arab and Iranian) individuals who have wide and flared nostrils.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 5 reviews

Alar Base Resections

Alar base resection is when you reduce the size of the nostril or the flaring alar. This can be done based upon the pre-operative analysis of the patient and, in general, is performed to correct nasal nostril disharmony, especially on one who has excess nasal base widening and flaring.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 27 reviews

Alar base reductions decrease nostril width

Alar base reductions are also known as Weir’s excisions for alarplasty. This is a simple 3- to 4-mm excision of skin at the base and sill of the nose to reduce the alar flare and bring in the nostril width. Sutures that are used are dissolvable and fall out in about a week.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 65 reviews

Alar Base Reduction (Nostril Reduction Surgery)

Nostril reduction surgery (called Alarplasty / Alar Base Reduction) is a procedure that can narrow the width of the nostril base, decrease the amount of nostril flaring, or decrease the size of the nostrils.

To accomplish this, the surgeon makes an incision in the crease where the nostril wall meets the cheek. A wedge shaped piece of nostril wall is removed, and when the incision is sewn close, the nostril narrowing is acheived.

It is possible to perform this procedure alone or as part of a rhinoplasty. It can be performed alone, but keep in mind that in order for the nose to appear natural, it must adhere to certain proportions and also be in balance with the other facial features.

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 114 reviews

An alar base reduction Rhinoplasty is a procedure to narrow the nostrils

An alar base reduction, also called a Weir Resection is done to narrow the nostrils of the nose.

People who have broad nasal tips with wide nostrils often want the nostrils narrowed.

Nostril reduction with the alar base resection is technically challenging and requires experience and technical expertise. The natural shape of the nostrils must be maintained and the scars hidden.

Alar base reduction

An alar base reduction can take care of many things. It can treat large nostrils, flare and width.  There are many variations to the procedure as it is customized to each specific patient's needs.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 19 reviews

Narrowing the nostrils.

 This means taking out a wedge of skin from the bottom of the nostrils for patients who have a wide nose. The scar is hidden in the crease of the nose.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

How is Alar Base Reduction used In Rhinoplasty

 Alar base reduction is a technique that is used to narrow the nostril with and enhance the shape. It is generally used with ethnic rhinoplasty.  There are stitches that are placed at the junction of the nose and cheek.  The incisions are well-hidden and are concealed nicely once healed.  

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 95 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.