Yes, the scars are permanent but if done properly very well hidden. I am giving you link to the photos of one of my patients, Its the woman on the bottom, she had alarplasty as part of the rhinoplasty and you cannot see the scars. I can even send you close up photos of the alar area if you wish...
Alar wedge resection (the old term was Wier Wedges) involves a resculpting of the widened ala with excision of excess tissue and sometimes the nostril floor or sill. This is individualized and you should discuss with your surgeon how much he will remove,, which portions of the ala and how he...
Every surgeon has their own post-operative routine depending on the type of suture used during the surgery. Absorbable sutures dissolve. Permanent-type sutures in the skin surface are removed 5-8 days after the operation. This type of suture placed in the deeper tissue are left forever.