Is it possible to reduce the width of my alar base by 1 cm (5mm on each side)?

Great question!  Yes it is possible to reduce the alar base, however what is more important is how that will look on your face.  By narrowing your base this significantly, you will alter the facial proportions and there are certain measurements that need to be adhered for an aesthetic appearance, as reducing too much will not look right.  Best recommendation can be provided with an in person consultation so that a physical examination can be performed.  Best of luck and hope this information helps!- Dr. Roger Tsai

Hello,

Rather than asking these theoretical questions, go on a few consults.  5 mm is a large distance though, and even if it is possible, if doesn't suit you, you'll have a hard time finding a reputable surgeon that would do it so aggressively. 

Best of luck!

Alar base reductions are more complex than just narrowing the base of the nose. They impact nasal proportions and other components of your nose and your face. It is possible to remove 5mm per side in any person. If that is advisable and will give you the result that you desire is the important question. I think you would be served best by seeing an experienced surgeon. Explaining your goals and then letting them offer you surgical options.

An alar base excision is a class of procedures done in conjunction with rhinoplasty to reduce the bulk, flaring and size of the nasal ala and to reduce the width of the nostrils themselves. They are customized for each patient situation, based on careful analysis of patient photographs and discussion with patients about cosmetic goals.

A skilled plastic surgeon will balance the amount of resection of the alar bases with the overall appearance and function.  If your reduction is too aggressive, this can result in distortion of the nostrils or overly narrowed nostrils, a very difficult problem to fix.