Is there such a thing as non surgical alarplasty? (Photo)

A combination of a Weir with nasal sill excision will create the optimal outcome for you given the excessive width of your sill, but also the excessive flare of your ala. Preserving the appropriate degree of flare and width will allow for a significant improvement in the shape of your nostrils...

Alarplasty alone can reduce the width and/or flare of the nostrils and ala. It does not change the size or shape of the nasal tip. Surgical rhinoplasty is the safest and most effective way to create permament changes to the size and shape of the nasal tip.

You can take Accutane as soon as one month after surgery if the incisions are healed. In fact the Accutane might help improve the overall appearance by reducing thickness related to the sebaceous glands. Regards Dr J

In the photo the "bumps" or fullness along your alar base incisions appears to be due to tension along the incision line. Depending on how long ago your surgery was, this may relax and improve with further healing. Without a static photo (not smiling) to compare with, it's hard to rule out...

Skin is elastic and stretches. Especially when smiling, the skin along the nose and ala moves. A 2 mm nasal sill incision will create less than 3-4 mm of width reduction.

Intrinsic skin elasticity and the dynamic interactions of the dilator naris with the skin envelope will affect ultimate width reduction after alarplasty more than simply the skin thickness.