An alarplasty requires stitches, and these are often removed at one week. You can return to desk work within a few days if you are ok with people seeing stitches. If not, then within a week to ten days.
An alar plasty procedure can be performed under local anesthesia and patients are able to return to work 3-4 days later. There is a mild amount of swelling in the area with some stitches.