Another Alarplasty Only Question. Is an Alar Reduction Alone Possible? (photo)

 Usually an alarplasty by itself can give the appearance of a widened tip and tip work is needed at the same time.  In addition, the dorsum may need to be addressed due to nasal width after other aspects of the nose are narrowed.  The decision needs to be made jointly with your plastic surgeon.  I have plenty of pictures of noses like yours, but very few have received alarplasty alone for the reasons stated above.  Kenneth Hughes, MD Los Angeles, CA

Sure, an alar reduction can be done if all else in the nose is in harmony. The alar surgery can reduce the size of large nostrils, or reduce the "flare" of the nostril to the outside. Although the results of this procedure can be subtle, in some people it is just the right thing.

Absolutely. An alarplasty can be performed in the office under local anesthesia. Your issues with high blood pressure should not create any problems with the procedure. Further, as long as you have reasonable expectations for the expected result, an alar procedure alone can provide significant results in the properly-selected patient.
When choosing a plastic surgeon to perform this procedure, ensure that they have experience with alar modification. In experienced hands, the procedure is predictable and provides aesthetically pleasing results. In inexperienced hands, alar surgery can create significant problems that can be incredibly challenging to remedy during a revision procedure. I hope this information is helpful.Stephen Weber MD, FACSWeber Facial Plastic Surgery