Browse Alarplasty before & after photos shared by doctors on RealSelf.

age 18-24

age 25-34

age 35-44

age 45-54

age 55-64

Asian

female

male

nose

alarplasty

1 year post-op

refinement

1 day post-op

2 months post-op

alar

10 months post-op

3 months post-op

1 month post-op

front view

side view

bottom view

oblique view

top view

25-34 year old woman treated with Alarplasty

45-54 year old man treated with Deep Plane Facelift, Neck Lift, Alarplasty, Rhinoplasty, Eyelid Surgery, Facial Fat Transfer, Hair Transplant

45-54 year old man treated with Deep Plane Facelift, Neck Lift, Alarplasty, Rhinoplasty, Eyelid Surgery, Facial Fat Transfer, Ha

This is a 22 year old young woman who had concerns about the size of her nose. Specifically, she was interested in narrowing the base of her nose  where the nose meets the face  and decreasing the flare of her nostrils. She underwent an alar base excision (Weir excision) to narrow the base of the nose and decrease her alar flare. This was done in the office under local anesthesia. She did very well after surgery with minimal bruising and swelling. At 2 months after surgery, her nose has settled nicely with maintenance of her alar narrowing, well-hidden scars, and a softening of her alar flare.

Alarplasty and Weir Excision for a Wide Nose

Nostril widening using internal flaps to correct an over-resection performed elsewhere.

Patient had nasal base overly narrowed during a rhinoplasty performed one year prior to my seeing him. I lateralized the ala nasi using composite ear grafts.

25-34 year old man treated with Alarplasty

Primary Rhinoplasty with her own rib cartilage and DCF (Diced cartilage fascia) and lower blepharoplasty

25-34 year old woman treated with Alarplasty, Asian Rhinoplasty, Rhinoplasty, Eyelid Surgery

Woman treated with Rhinoplasty, Alarplasty

Patient had a previous rhinoplasty with an aggressive alar base narrowing. The after photo shows reversal of the narrowing using a modified liplift procedure.

This is a healthy patient who presented with the request of narrowing her nostrils. The recommendation was made for an alar base reduction. This involves an incision on the underside of the nostril which, when done correctly, heals very well. The width was reduced about 3.5 mm on each side to create more narrowness. This can be done in-office under local anesthetic and with minimal swelling, bruising, or pain. The important point is to avoid too much narrowness which can make the nose appear operated or unsightly. The patient is pleased with her natural result.

45-54 old woman treated with Alarplasty

21-30 year old woman treated with Alarplasty, Brow Lift, Facial Fat Transfer

Woman treated with Alarplasty

Revision Rhinoplasty with her own rib cartilage and DCF. This revision had to be done in 2 phases due to the poor quality of her skin from previous silicon implant. Phase I: Silicone implant removal Phase II: Revision Rhinoplasty with rib cartilage and DCF

35-44 year old woman treated with Rhinoplasty, Asian Rhinoplasty, Revision Rhinoplasty, Septoplasty, Alarplasty

Revision Rhinoplasty and alarplasty using his own rib cartilage and DCF (Diced cartilage fascia) to create a more projected and defined nose. Chin filler was done to achieve a greater balance.

35-44 year old man treated with Asian Rhinoplasty, Alarplasty, Revision Rhinoplasty, Septoplasty, Rhinoplasty, Chin Filler, Rest

35 year old man who underwent open tip rhinoplasty, alarplasty and lip under general anesthesia

35-44 year old man treated with Rhinoplasty, Alarplasty, Lip Reduction

This pleasant woman presented with the goals of reducing her nostrils. Approximately 3-4 mm of nostril was removed on each side. This was performed in clinic and was well-tolerated. Her scars are unnoticeable.

45-54 year old woman treated with Asian Rhinoplasty, Alarplasty

Woman treated with Septoplasty, Alarplasty

Septoplasty with alar base reduction.The rhinoplasty also let the underlying features shine, rather than being hidden by the previous nose.

Rhinoplasty + Alar base reduction - 3 months

Nostril widening using internal flaps following over-resection performed elsewhere.

This is a healthy male who presented with a history of two prior rhinoplasties. He was bothered by the significant hump noted on his profile in addition to the width of his nostrils. After evaluation and discussion in clinic, it was determined that the hump appeared after placement of Gore-Tex under the bridge for camouflage during the revision procedure. The skin started to appear discolored and tender. He underwent an open rhinoplasty procedure with us to remove the foreign material, smooth the bridge and cover it with fascia from his temple, and narrow the width of the nostrils. Gore-Tex, medical-grade material is often used to hide irregularities underneath the skin of the nose, but it can produce poor results. As a result, we use temporalis fascia which is a natural blanket that comes from the patient's temple region.

45-54 year old man treated with Alarplasty

	This 23 year old female desired to have a narrower nostril base. Dr. Repta and the patient discussed her options including her desire to minimize cost and downtime. The patient underwent an alar base reduction under local anesthesia. The patient drove herself to the office and the procedure took about 1 hour. She is shown just 1 week after her procedure with improved width of her nose at the nostril level. Although some swelling is present the results shown depict what can be accomplished quite easily under local anesthesia.

This young lady underwent alar base (nostril) reduction under local anesthesia

1mm Plastic Surgery

External flap used to widen a nostril which contracted following radiation therapy.

Patient requested a conservative and subtle alar base reduction (nostril narrowing) to reduce nasal flare. Procedure was performed under local anesthesia and tolerated very well. 6 day post-op photo displays fresh postoperative incision immediately after sutures were removed.

Alarplasty Before & After Photos

118 Alarplasty pictures shared by doctors

Jeffrey B. Wise, MD, FACS

Hayati Akbas, MD

David Tauber, MD

Stephen J. Pincus, MD

Stephen J. Pincus, MD

Donald B. Yoo, MD, FACS

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast)

Stephen J. Pincus, MD

David M. Kowalczyk, MD, MBA, FACS

Mark Beaty, MD

Jeffrey Lisiecki, MD

Jeffrey Lisiecki, MD

Donald B. Yoo, MD, FACS

Donald B. Yoo, MD, FACS

Jose Telich, MD

David M. Kowalczyk, MD, MBA, FACS

Lexie Wang, MD

Lexie Wang, MD

Mark Solomos, MD

Mark Solomos, MD

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast)

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast)

Stephen J. Pincus, MD

David M. Kowalczyk, MD, MBA, FACS

Remus Repta, MD

1mm Plastic Surgery

Stephen J. Pincus, MD

Jin Joong Kim, MD

Jeffrey B. Wise, MD, FACS

Lynn Chiu-Collins, MD

Related Reviews

118 Alarplasty pictures shared by doctors

Jeffrey B. Wise, MD, FACS

Hayati Akbas, MD

David Tauber, MD

Stephen J. Pincus, MD

Stephen J. Pincus, MD

Donald B. Yoo, MD, FACS

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast)

Stephen J. Pincus, MD

David M. Kowalczyk, MD, MBA, FACS

Mark Beaty, MD

Jeffrey Lisiecki, MD

Jeffrey Lisiecki, MD

Donald B. Yoo, MD, FACS

Donald B. Yoo, MD, FACS

Jose Telich, MD

David M. Kowalczyk, MD, MBA, FACS

Lexie Wang, MD

Lexie Wang, MD

Mark Solomos, MD

Mark Solomos, MD

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast)

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast)

Stephen J. Pincus, MD

David M. Kowalczyk, MD, MBA, FACS

Remus Repta, MD

1mm Plastic Surgery

Stephen J. Pincus, MD

Jin Joong Kim, MD

Jeffrey B. Wise, MD, FACS

Lynn Chiu-Collins, MD

Related Reviews

1 Year Post-Op: Couldn’t Be Happier with My Alarplasty Results

Top-Notch Facial Plastic Surgeon

Greatly Improved my Self Esteem!