Alar base reduction/nostril reduction in England? How much would it cost if it's available? Help! (photo)

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from decreasing the width of your alar base.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

The nostrils can be narrowed with alar base excisions. These are relatively simple but must be done in a precise manner to avoid asymmetries or over correction.  The specific anatomy of the base of the nose (nasal sill) is crucial.  Also one can't change just one part of a nose such as the width of the base without impact other parts such as the perceived width of the tip.  See an experienced surgeon- once alar base excisions are done poorly or overdone they are very difficult to revise or correct.