Will Alarplasty Help Fix my High, Flared, Uneven Nostrils? What is Likely Causing This Asymmetry? (photo)

An alarplasty will only reduce the width of the base of the nostrils and does not effect flaring.  Flaring of the nostrils can be addressed with a combination of composite grafts or alar rim grafts or baton grafts placed inside the nostril.  Patient’s nostrils are never exactly symmetric, so some minor asymmetry is within tolerance either before or after a rhinoplasty surgery.

Try not to think of each adjustment in rhinoplasty as a 'procedure', as each step we take to change the nasal form can impact the balance elsewhere. The nasal ala is high and arched and an alarplasty or graft may be the correct step, though it might be necessary to raise the columella to reduce show, and reduce the asymmetric flare with a Weir at the base to fine tune adjustments. Make sure you and your surgeon 'see' and understand your issues and goals the same way.