Is alar base reduction a good choice? (photo)

The areas that concern you
can be realistically cosmetically improved to produce a better harmony with the rest of your nose.

Keep in mind that following
advice from a surgeon on this or any other website who proposes to tell you
exactly what to do based on limited two dimensional photos without examining
you, physically feeling your tissue, assessing your desired outcome, taking a
full medical history and discussing the pros and cons of the operative
procedure would not be in your best interest. Natural appearing results need to
be individualized and what is appropriate for one patient is not necessarily
the best for someone else. I would suggest that you find a surgeon certified by
the American Board of American Plastic Surgery and one who is ideally a member
of The American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic
surgeon (otolaryngologist) that you trust and are comfortable with. You should
discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

From the one photo presented, it does appear that you are a good candidate for an alar base reduction.  alar base reduction can be performed either inside the nostrils or at the nose upper/ lip junction.

I think there is a case to be made for Alar reduction. I would suggest you try video imaging to make certain that you will be pleased with the result. There's no going back after the operation.