I want slimmer alars and no scars. What should I get? (photos)

Many doctors have said that they do not recommend excision for me as my nostril shape is bad, skin is "small" around the alar Base and thick. I only want a slight reduction without further messing up my nostril shape. The picture indicates what I want. What should I do?

Doctor Answers 4

Smaller alar rims

You can get smaller alar rims by placing excisions of your alar rim on the inside of your nose rather than the outside; this significantly reduces the risk of scarring.


Orange County Plastic Surgeon
4.9 out of 5 stars 44 reviews

Slimmer alars with no scars

When patients only desire a very minimal amount of narrowing, a small wedge of skin can be removed to narrow the width of the nostrils. The incision is located completely  on the inside of the  nose

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

I want slimmer alars and no scars.

A slight sliming can be done using only internal scars. Another treatment to consider is increasing tip projection using cartilage grafting. The increased height helps to give an illusion of narrowing.

Curtis Perry, MD
Downey Facial Plastic Surgeon
4.8 out of 5 stars 16 reviews

Thinner nostrils

You can slim the nostrils a bit with all internal and hidden incisions.  You appear to be a candidate for this bases on your photos.  The exact plan will be determined on an in-office exam.  Best wishes.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.