How complicated and costly is a reduction of alar cartilage? (Photo)

Tip rhinoplasty (what you're asking for) is possible, and is usually less expensive than full rhinoplasty surgery.  Costs of plastic surgery depend on the location, how expensive your area is in general, and also the reputation and experience of your plastic surgeon.  You can call a few surgeon offices in the area, and most should be able to give you a cost estimate (or a reasonable range) for what you're looking for.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.  In our practice, the costs are in the $5000 - $5500 range usually, but examination is possible to determine how much work is needed before giving exact fees.

There is more than just alar cartilage excess. The nose is deviated along the vertical axis. Along with septoplasty, it will need bone work (ostoetomies) and alar cartilage reduction to make the tip look more symmetric. RegardsDr. Janjua

In looking at your photos, it appears that your entire nose deviates to the right. There is likely a septal deviation, causing right right lower cartilage to project into the nostril more. Your tip defining points are asymmetrical - sharper on the right - which is also pulling your tip to the right. Volume reduction alone will not correct this. A tip-plasty with suture remodeling of the shape of your tip would be recommended.

Hello and thank you for your question.  When looking at your nose, it appears that, from top to bottom, you could benefit from a septoplasty and spreader grafts to improve the curvature of your nose and tip-refining cartilage modification to improve the nasal tip symmetry. Recovery would be 1-2 weeks
where you would wear a nasal splint for the first week and notice
significant improvement in swelling over the next week.  Costs of a rhinoplasty will vary based on the region and expertise of your plastic surgeon.
The next step for you is to find the right aesthetic plastic surgeon. 
In your rhinoplasty
consultation, be sure your plastic surgeon addresses all your aesthetic goals and concerns
specifically, and discusses the surgery details including the position and size
of the incisions used (with actual photographs and not just digital animations),
the risks and benefits of the procedure, recovery time, and post-operative
course.  Also, be sure to see plenty of before-and-after pictures in women
who have a similar nose appearance to yours, and preferably at different time
frames (3 weeks out, 3 months out, etc) to more accurately predict your own
surgical outcome.

And lastly, I think the most
important component of the consultation is to establish a good connection with
your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome
goals, the first step of this whole process. If you don’t feel you have a
good connection with your plastic surgeon after your consultation, he/she may
not be the best surgeon for you.
Please refer to the link below for any further questions about Rhinoplasty.

Good luck.

Mark K Markarian, MD, MSPH

Harvard-trained Aesthetic Plastic Surgeon

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 a septoplasty and spreader grafts to help straighten your nose.  Cost varies based on geographic region and surgeon expertise.  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

Thanks for sharing your photos. Based on them your needs will be as follows:
- Tipplasty Procudure
- Alar Cartilage Reduction
- Equal Nostril & Septoplasty Operation 
Those will give you the desired result and it is not a complicated surgery. After the surgery you will see 70% of the result but you have to wait for 10-12 month to see the final result. If you need further informations so do not hesitate to contact us, please. We will be happy to assist you.

You are likely going to need a septoplasty, turbinoplasty, tip-plasty , and dorsal reduction with osteotomies to correct the deviation of your nose. The least expensive you will likely find in 5000.

All noses are a bit asymmetric and while one can try to better balance the two sides, inevitably there will always be some asymmetry post-op.

From the limited photographs, the entire nose is crooked, twisted and asymmetric. A full rhinoplasty is going to be required to adjust the nasal tip cartilages and set the nasal bones straight.  A spreader graft will most likely be needed to be placed underneath  the upper lateral cartilage in the midportion of the nose on the concave side. All of this can be performed with a closed rhinoplasty approach with all of the incisions placed on the inside of the nose. A thorough internal examination of those required to make a determination about having a deviated septum present. A septoplasty is performed to improve airflow dynamics inside the nose and is  only performed for medical necessity. The septoplasty will not change the shape of the nose. For more information and many rhinoplasty examples including our current price list, please see the link and the video below

I doubt that you would only benefit from having your tip done, see a board certified plastic surgeon to discuss your nose and what you dont like -- a rhinoplasty may be needed. Cost varies