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.

Thank you for the question and the simple answer is YES but an evaluation is needed first to see if this would give you the desired result.  So see some experts in the field.Dr. Corbin

Plastic surgeons perform a modified weir excision for the nostril/ sill base, and an intra cartilagenous incision for the flaring lower lateral cartilage.

Alar reduction is a very popular technique in California on several ethnic groups that frequently have a wide nasal base. However, over the past 35 years I prefer to keep the incisions inside the nostril to avoid the risk of an unfavorable scar outside the alar rim.