Options For Making my Wide Asian Nose Smaller? (photo)

My nostril flares so im considering alarplasty, as well as alar base reduction, so that it would not be as big when i smile wide, but still retain its natural curve* if i wanted to get alar base reduction, would the result be the same as if im pinching the base of my nose slightly together? or similiar? becoz there is limited information on the web regardly alar base reduction alone and im not sure of the result even though i know the procedure. this big nose is ruining my face...

Doctor Answers 11

Alar base reduction and tip improvement

Hi FlatNose,

First off, you're nose fits your face fairly well.  Here's what I think:

1.  You could use an alar base reduction but make sure the incisions are on the inside of the nostril, not cut on the outside and don't shorten the ala.  Simply reduce the width of the alar base.

2.  You will want to match the nasal tip with your new alar base but make it subtle.  You need a very conservative tip rhinoplasty to make your tip just a little less round.  This can be done without making cuts on the outside of the nose and your should heal in about one week, though you'd be a little swollen for about 2 weeks.  You can google endonasal rhinoplasty and tip refinement and your should find a lot of information.

But please be conservative!  You already have a very pretty face.  Don't do anything too drastic and see several surgeons.  

Best of luck

Chase Lay, MD

Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 76 reviews

Asian Rhinoplasty and wide nostrils


  Alar base reduction can be performed in the office with minimal recovery time required. 

  A better question to ask is if this procedure would meet your expectations and provide you a change with which you are happy.  To begin with, you have a very well contoured nose that balances with your other features.  I do not think anyone here would suggest that it is a big nose or “ruining your face”. 

  One thing to consider is that if you only narrow your nostrils it will make the tip of your nose proportionately larger.  The best way to evaluate the nostril-to-tip ratio is using a photograph of the base view, basically the camera is positioned under your chin and pointed upwards towards the nose.  During a consultation, a surgeon with image-enhancement software could demonstrate exactly what your nose would look like if only the nostrils were reduced in size.  If you are happy with the changes, great, if not you may consider recontouring the tip of your nose as well.

Hope this helps.

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Alar base reduction alone does not alter the nasal tip

Pinching the nostrils together narrows the nostrils but also gives your tip more projection, since the tip invariably gets pushed upward during the process of manipulating the nostrils with your fingers. In contrast, surgical narrowing of the alae will not alter the nasal tip. To achieve a desirable result, you would need to narrow the nostrils as well as surgically addressing the nasal tip to give more projection in the tip.

Charles S. Lee, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 79 reviews

Asian Rhinoplasty - Alar base modification

An alar base modification would help improve the balance of your nose, as would some tip refinement. A subtle dorsal augmentation would help make your nose appear more "narrow", while still maintaining a look that is 100-percent you.
Looking at computer-morphed images with your surgeon during consultation will give you a good idea of what is possible, and also give you a great chance to convey to your surgeon what you envision.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Alar Base Reduction

This is a common request from Asian patients and can be successfully performed to achieve the results you are seeking.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Reducing Asian nose wide nostrils

From your photos it looks like you are a candidate for alar base excision to narrow your nose. As some of the others have mentioned another way to narrow the nose is to build up the bridge, which can be done at the same time. Improving the overall projection of the nose would also make it look less flat.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Alar base reduction

You are a good candidate to have alar wedge reactions to narrow the base of your nose. This is a fairly smile procedure and can often be accomplished under local anesthesia in less than an hou, assuming no other work needs to be done on your nose.  The key element of alar wedge resection in experience and artistic sense on the part of the surgeon. Ask to look at some photos of patients who are similar to you so you are confident the surgeon understands what you want to achieve.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Treatment for Wide Asian Nose

The width of your alar base can be reduced by excising tissue within your nostril. Although I cannot tell from the pictures submitted if this applies to you, in many Asian noses the apparent width and flatness above the tip can be improved by augmenting the bridge to increase nasal projection. Although silicone implants are very popular, I prefer to use the patient's own tissue because there is less risk of graft movement and infection.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Alar reduction can help narrow a wide nasal tip

When a patient has a low bridge, the nose can look particularly wide. By building the bridge up with cartilage from the ear or an implant, the bridge of the nose will look narrower. Once the upper portion of the nose is set, I look at the tip.The tip of the nose in the picture looks like it needs support and narrowing. Because of the increased width between the eyes, narrowing the base of the nose may not be necessary for many asian patients.

Brian Maloney, MD, FACS
Atlanta Facial Plastic Surgeon
4.7 out of 5 stars 30 reviews

Making wide Asian nose smaller

Asian rhinoplasty often involves augmentation of a flat nasal bridge with a silastic implant to increase dorsal height and create the illusion of a narrower nasal base.  Another common technique for Asian rhinoplasty is alarplasty, which is done to narrow the nasal base.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 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.