I understand alarplasty is usually done alongside septo/rhinoplasty.

I understand alarplasty is usually done along side septo/rhinoplasty. If not , when is most earliest most realistic date you could have the surgery?

Doctor Answers 7

Alarplasty with rhinoplasty

Hello! If alarplasty is performed it is typically and ideally done at the same time as rhinoplasty. Good luck!

Indianapolis Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews


Alarplasty if needed, is done, most conveniently, in conjunction with rhinoplasty. If there is a doubt and not done at that time, it could be done, probably, within in a few months.

Dennis Barek, MD
Great Neck Plastic Surgeon
5.0 out of 5 stars 6 reviews

Alar plasty with and without a rhinoplasty

An alar plasty can be performed as part of a rhinoplasty procedure, or as a stand-alone procedure  when patients only wish to have the nostrils narrowed.  A septoplasty is performed to improve airflow in the back of the nose, and is usually performed for medical necessity.  A septoplasty will not change the shape of the nose.   For more information about the differences  between a septoplasty and rhinoplasty and many before and after examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 126 reviews

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Hello and thank you for your question.  Alarplasty is typically performed at the same time as rhinoplasty in patients who need this procedure.  If it is not done at the same time for some reason, then I would recommend waiting six months. Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 67 reviews


Typically they are indeed done together. If someone decides do alter the alae at a later date, I would want all tissues/scarring to be soft and stable before doing this. At a minimum, I would suggest six months and possibly longer.

Robert H. Hunsaker, MD
Miami Plastic Surgeon
4.5 out of 5 stars 69 reviews

Alarplasty performed after Rhinoplasty

In cases where the patient or surgeon elects to defer alarplasty at the time of the rhinoplasty, but later decides that there may be some benefit to do alar base reduction.  I would wait 6-12 months from the original rhinoplasty. This allows for some skin and soft tissue healing to occurs first and facilitates the planning and execution of a secondary alarplasty. 

Fred J. Bressler, MD, FACS
Houston Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Alar plasty can be done independent of any other surgery

There are no rules that require unnecessary surgeries. It surgery is done for its own merits and needs. If you only need alarplasty, you can have it without any other surgery to your nose. 

Vasdev Rai, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.