Around how much does an alar rim graft cost?

It appears that too much alar wall was removed from your left nostril, which shortened and straightened it, with a concomitant loss of curvature. It would seem that you would benefit from a composite (skin + cartilage) ear graft to lengthen it and restore the curvature as it attaches to the face.

It appears from the few posted photos that your nose is "bottom heavy". It would be interesting to see what you started with. Many times a hump reduction, with or without infracturing, will reduce some of the support to the overlying skin/soft tissue envelope. This results in laxity transferred...

For patients who want a mild reduction in their alar base and minimal widening with smiling, I free the entire lower soft tissue of the nose from its bony attachment to produce a very slight general contraction of the entire area. I also add a cinching suture beneath the nostrils, which helps...

Alarplasty is almost irreversible. In order to reverse it grafts need to be taken from the ears and placed in the area of the missing tissue where the nose meets the cheek. It does widen the nostril but there are visible scars. Regards Dr. J

In most cases Alarplasty is sufficient to achieve the appearance of a narrow nasal base or bottom half. However, some patients have bulbous or wide tip as well. In those cases you need both done. Based on your photos it is best to do both. Regards Dr. J