Is alarplasty a dying trend? (photo)

I would not agree that it causes "extreme scarring".  If designed and executed properly, the scars are typically very hard to see.  They can be dermabraded if needed as well.  It is still a common maneuver performed with rhinoplasty. 

Alarplasty is alive and well and is a powerful tool in appropriate candidates.Select a plastic surgeon who performs hundreds
of rhinoplasties each year, has great reviews, and has great before and
after pictures.Kenneth Hughes, MDLos Angeles, CA

Alarplasty is a challenging procedure but it is very rewarding as well. Many surgeons can be reluctant to do it for their own reasons but if done properly it works very well and the scarring can be barely visible. RegardsDr. JDisclaimer:
This answer is not intended to give a medical opinion and does not substitute
for medical advice. The information presented in this posting is for patients’
education only. As always, I encourage you to see your personal physician for
further evaluation of your individual case.

Alar reduction is more commonly done today than ten or twenty years ago. When the right technique is chosen and well done, the scarring is very minimal. The key is to have the right technique done for your type of alar flaring problem.

As other rhinoplasty surgeons have stated, alar plasty or nostril narrowing is not a dying procedure. However, it's not appropriate for all patients considering rhinoplasty. Yes, problematic scarring is a potential risk, but normally a relatively low risk. A comprehensive evaluation in-person is required. Speak with a specialist to help determine appropriate options for you. Best,Dr. Chaboki