Am I Good Candidate for Alar Base Reduction? (photo)

The biggest problem with alar reduction is that is that it is irreversible. It also tends to be needed in patients who have thicker skin and don't heal well. I agree with you and your surgeon that you could benefit from this procedure. You need an element of narrowing and also a reduction in the flare (roundness of the nostril) - this is a more difficult combination than if you were to need only one of the two.

Alar base reduction alone with make your nose look somehwat less prominant.  The light reflections of the the ala are more pronounced when they are wide and curved like yours.  Alarplasty to narrow and straighten the ala can make them fall into the background more.  I do not think it will be easy to narrow your tip slignificantly given you thick skin.  You should discuss these details with your surgeon.

As a standalone procedure, I do not think you will be satisfied with the results.  However, as part of a comprehensive rhinoplasty, it will certainly improve the appearance and balance of your nose.  

I agree that you need a reduction in the width of the nostril and a reduction of alar flare.  In your nose, the scars should be well camoflauged in the crease where your nose meets your face and within the nostril.  Having sebaceous skin will also help minimize your scars. 

Alaplasty will only affect the base (lower third) of the nose and have only minimal effect on the tip.  I think it would be a good start and you could proceed onto other procedures if you wanted further refinement of your nose. 

This is not a good idea.  You have wide nasal bones that need to be narrowed if you narrow the base since if you just did the base the bridge would then look too wide. 

Alarplasty would reduce your nostril width and alar flaring. However, if this is done as an isolated procedurel, I don't think you will be satisfied with the outcome. I think your nose bridge and tip should be addressed so your nose can be in a better harmony with itself and the rest of the face. 

Alar base reduction will narrow the nostrils by removing 3-4 mm of skin at the floor of the nose and is a good procedure. This can also be done just under a local anesthesia.

Thanks for your qquestion.  In my opinion, you need narrowing of the nasal bones, the upper lateral cartilages and maybe some tip elevation in addition to alar base reduction, to bring balance to your whole face.  Good luck and take care.