I was thinking of getting an alarplasty but I was concerned that it could result in a flattening and distortion of the nose?

Hi,An alar base resection or alarplasty is designed to narrow the alar base. if in the process it flattens the nose, the solution is to increase the projection of the nose simultaneously and this may need something along the lines of a columnar strut.The key to rhinoplasty is that it is a three dimensional procedure so one effect may produce a result that needs to be compensated for. For this reason alar base resection may need to considered as part of a rhinoplasty and not just a stand alone procedureI hope that helpsJeremy Hunt

Alar reductions are a great way to narrow the base of the nose and change the alar flair.  this makes a difference in the way a nose looks and can be the key to a superior result.  However, in order to make the change without distorting the nostrils and causing flattening of the natural architecture, the cuts must be kept toward the nasal sill as opposed to out on the nostril and face.  BTW, this is not what is written in the text books!