Can I have alarplasty and chin lipo under local anesthesia at the same time?

There is no connection betwen your nasolabial folds and your afroamerican alar excess, actually I'd never say you have bad, too visible or deep nasolabial folts, they are sweet and mild ones, no reasons to be concerned about them. Alarplasty can be an option, however in these ethnic noses...

You could totally get that fixed. I think you probably need a little moree xcision on the right nostril.

I don't think you should do another alarplasty as you don't have much if any alar flaring and your nostrils are already pretty narrow. What you are more bothered by seems to be alar retraction, which is not something an alarplasty would address but would require a rhinoplasty of some sort.