It has taken 3 infractures and two alar reductions done over sixteen years to get me to the point I am at now. My original surgeon is pretty well known in town for his professionalism and his work with cleft plates and surgical reconstruction. There are no cases of malpractice from him that I know of. He suggested that he could do a fourth infracture to narrow the bridge further. My last surgery was in 2008. I would like a slightly narrower bridge and something less bulky.