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If the nose is too wide in the nostril area, then the "wings" of the nose can be narrowed by cutting out a wedge-shaped piece from the outer base of each nostril. This is referred to as an Alarplasty, and it is one of the rare times that an external cut is made on the nose. The scars are thin and hidden from view in the natural crease of the nostrils. An equal amount is taken from each nostril or the nose will look crooked.
Alarplasty refers to narrowing of too-wide nostrils. Rhinoplasty is a general term referring to any surgery designed to change the appearance of the nose. Alarplasty is performed by removing a predetermined amount of soft tissue, and then suturing the open area together. This narrows the nostrils, which is desirable when they are over-wide, in the practice surgeon perform only the inside-nose incisions that extend no further than the nostrils.
Once the patient is thoroughly anesthetized the procedure will begin. Preoperative marks will determine the amount of nasal tissue to be removed. Depending on the patient's anatomy, the shape of the tissue to be excised will typically be in a triangle, rectangle, or diamond shape. The surgeon will make an incision just above the outside crease where the nostril connects to the cheek. The incision will continue to the inside of the nose, following all the way around the preoperative markings. The tissue will then be excised. Sutures will then be used to reattach the nostril to the base of the nose in a more narrow position. The procedure will be repeated on the opposite nostril. Incisions and resulting scars are well hidden within the natural creases of the nose.
The goal of an alarplasty procedure is to reduce the size of the nostrils for a more symmetric nose or more balanced facial features.
During Alarplasty , surgeon will make an incision where the wall of the nose meets the cheek. The extra fatty tissue, muscle and skin are trimmed. The nostril is repositioned and lastly is reconnected with fine sutures. The surgery time is approximately 1 hour under local anesthesia in our clinic. There is no requirement for one night admission. You will experience swelling where the incision areas are but it will subside in a week or two.