How Difficult is an Alar Base Reduction?

Alar base reductions are a very useful tool for the flared nasal base,  I use it very sparingly - because it does make a permanent change and leaves an excellent, but actual scar.  90% time I do it under local as a touchup procedure - not at the same time as the rhinoplasty - unless there is no question that it needs to be done.

Alar base reduction does need to be performed symmetrically so as to leave the nostrils symmetric. There are always slight imperfections and asymmetries of the nostrils, so two nostrils can never be exactly perfect. The tip plasty is more complicated than the alar base reduction since there are so many other three-dimensional variables on the tip.

Alar base reduction is a fairly straightforward procedure that is done as precisely as a formal rhinplasty.  Remember no one is completely symmteric and more than likely your alar are not the same.