Is the alar sail excision method used among doctors in the US? (Photo)

I've performed the alar sail excision technique to address the problem of a hanging ala. It's hard to know whether you'd benefit from this technique without seeing your nose though.

Alar base reduction by performing sill excision is a very common procedure particularly for Asians.  The best recommendation is to have an in person consultation with a board certified specialist who can evaluate you and assist you with achieving the goals you seek. 3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.

Alar sill excision is definitely a more discrete technique to reduce alar rim volume; this is in contrast to the later excision technique that was placed on the outside of your nose and thus the incision line more apparent.