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Can Alar Base Reduction Be Done Alone?

Can alar base reduction Rhinoplasty be done with no tip or bridge work, just the nostril? if so, what would be the average price for just alar base reduction?

Doctor Answers (12)

Nostril Narrowing (Alar Base Reduction) Can Be Performed With or Without a Rhinoplasty


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.

Dallas Facial Plastic Surgeon
5.0 out of 5 stars 88 reviews

Alar base reduction alone.


Dear Martha,

You ask an interesting question since it's technically possible, but I haven't seen anyone in 10 years of practice that has wide nostrils and nothing else to improve.

Wide nostrils usually go along with a wide tip that would benefit from repair at the time of surgery.

Alar base resection alone could be performed with local anesthetic in the office, but you may not get the nose of your dreams.

Feel free to post / email me a picture, and I'll be happy to let you know my thoughts.

Best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 272 reviews

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Yes it is possible.


 Depending on how severe the problem is and whether or not you require general or local anesthesia, the cost will vary from $2500-4000. It can easily be done under local and you save mmoney.

Toby Mayer, MD
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Alar base reduction alone


Alar base reduction whether it is internal or external can definitely be done alone. The costs will vary widely based upon where you live and who is doing the procedure. We would do that isolated procedure in the office with local anesthesia with or without a little oral sedation. This keeps the costs down which should be somewhere around $2000-$3000.

Edward Buckingham, MD
Austin Facial Plastic Surgeon
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Alar base reduction can be a stand alone procedure


Alar base reduction can be done. This can be discussed with your doctor. It can be done as a stand alone procedure and the pros and cons can be discussed. In actuality, alar base reduction done as a separate procedure can be beneficial especially in the setting of doing an open rhinoplasty which can put the vascularity of the nasal tip at risk.

The alar base reduction can affect blood flow to the tip if done in conjunction, and hence, waiting to do this several weeks after the open rhinoplasty is sometimes prudent. But not all rhinoplasties are done in an open fashion.

The price of the alar base reduction can range between $1000-$3000, but it all depends on what is being done and also figuring anesthesia costs. But your surgeon can work this out with you.

Philip Young, MD
Bellevue Facial Plastic Surgeon
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Alar base reduction


There are actually many different types of alar base reduction, involving the ala, the nostril sill, or both. There is no single procedure with a defined cost.

As with any nasal surgery, the entire nose should be considered. The breathing, the appearance, the balance, and the balance with the face are all important.

Your costs will also depend on whether you go to sleep for the surgery or do it awake, or under purely local anesthesia.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 91 reviews

Alar base reduction can be done alone, however...


Alar base reduction can be done alone, however you may find that the nasal tip area and even the whole nose may look out of balance accentuating other areas of the nose. Speak with a board certified plastic surgeon (or several) to get opinions on your particular concerns. It's best to do the right procedure as opposed to choosing one.

Ricardo Izquierdo, MD
Oak Brook Plastic Surgeon
3.5 out of 5 stars 6 reviews

Can Alar Base Reduction Be Done Alone


If an Alar Base problem is the only presenting then Alar Base reduction can be performed.  This procedure involves excising a section of the Alar Base in elliptical or parallel patterns depending on what is needed to reduce the Alar Base.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 37 reviews

Alar Base Reduction


Yes and alar base reduction can be done alone or as part of a formal rhinoplasty. It is most commonly done in conjunction with the rhinoplasty but can be done at a later time or even as a stand alone procedure. If done as a stand alone procedure it can easily be done in the office under local anesthesia.

This procedure can both narrow the base or the ala and if desired can narrow the nostrils as well. As with any rhinoplasty maneuvers the surgeon should always be aware of the effect this will have overall on the balance and proportion of the nose.

Mark A. Jabor, MD
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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.