Wide or flared nostrils can make an otherwise well-proportioned nose appear broader than you would like. Alar reduction narrows the nostril base and refines the nostril shape in a single, precise procedure that takes under an hour. The incisions are hidden in the natural crease where the nostril meets the cheek, so scarring is virtually invisible. The result is a subtly slimmer, more harmonious nose that suits your face.
What Is Alar Reduction?
Nostril narrowing, also known as alarplasty, is a targeted procedure that reshapes the nostrils by removing a small wedge of tissue from the nostril base. It can address flaring, asymmetry, or overall width without altering the bridge or tip of the nose.
The procedure is commonly performed on its own or alongside rhinoplasty for patients who want comprehensive nasal refinement. Our partner surgeons use precise techniques to ensure the nostrils remain naturally proportioned and symmetrical.
Common Concerns Alar Reduction Can Address
- Wide or flared nostrils that appear disproportionate to the nose
- Nostril asymmetry that affects facial balance
- Broad nostril base that makes the nose look wider than desired
- Nostrils that spread noticeably when smiling or expressing
Are You a Good Candidate?
- In good general health with realistic expectations
- Non-smoker or willing to quit before surgery
- Bothered by nostril width, flaring, or asymmetry
Techniques & Options
Nostril shape is defined by the width of the base, the curvature of the alar rim, and the thickness of the surrounding tissue. Your surgeon will assess your nostril symmetry, skin type, and overall nasal proportions during your consultation to recommend the best approach. The procedure can slim a wide base, correct asymmetry, or reduce nostril flaring for a more refined nose shape.
There are two main techniques:
Weir Excision (External Alarplasty)
A small wedge of tissue is removed from the outer base of the nostril, where it meets the cheek. This directly narrows the nostril width and is the most common approach for reducing a wide nasal base.
- Incision hidden in the natural crease between nostril and cheek
- Directly reduces nostril width at the base
- Well-suited for patients with significant nostril flaring
- Scarring fades to nearly invisible within a few months
Nostril Sill Excision (Internal Alarplasty)
Tissue is removed from the floor of the nostril, narrowing the opening without altering the outer nostril shape. This technique is ideal for patients who want subtle narrowing without changing the external contour.
- Incision is hidden inside the nostril floor
- Narrows the nostril opening without changing the outer rim
- Lower risk of visible scarring
- Best for mild to moderate nostril width concerns
Recovery Timeline
Days 1–3
Mild swelling and tenderness around the nostrils are normal and expected. Small adhesive strips or sutures support the healing tissue. Discomfort is minimal and well-managed with over-the-counter or prescribed medication, and you'll have daily check-ins from your care coordinator.
Days 4–7
Swelling reduces noticeably and any external sutures are removed at your follow-up appointment. Most patients feel comfortable resuming light social activities and can conceal any residual redness with gentle makeup if needed.
Weeks 2–3
Incision lines continue to fade and the refined nostril shape becomes clearer. You can resume normal daily activities and most patients feel comfortable returning to work. Avoid strenuous exercise and anything that risks impact to the nose during this period.
Months 1–3
Final results are fully visible as all residual swelling resolves and scars mature to fine, pale lines hidden in the natural crease. The slimmer, more balanced nostril shape is permanent and looks naturally proportioned to the rest of the face.
What to Expect
Safety & Risks
Alar reduction is a safe, well-established procedure when performed by an experienced surgeon, but like all surgeries, it carries some risks.
- Temporary swelling and tenderness
- Minor scarring at the incision site
- Nostril asymmetry
- Over-correction (uncommon)
- Infection (rare)
- Delayed wound healing
Because nostril narrowing removes a small but visible amount of tissue from the nasal base, your surgeon will use precise measurements and, where possible, computer imaging to ensure you understand the expected outcome and every associated risk before treatment begins.
How Much Does Alar Reduction Cost in Thailand?
Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.
Alar Reduction
All-inclusive surgical package- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Common Questions About Alar Reduction
Everything you need to know before your procedure
Dr. Pichaya Suwanprasert
MEDICALLY REVIEWEDDr. Pichaya Suwanprasert
MEDICALLY REVIEWEDPlastic Surgeon · Bangkok
Last reviewed: February 19, 2026
Medical References
- American Society of Plastic Surgeons — Rhinoplasty
- NHS — Nose Reshaping (Rhinoplasty)
- ISAPS International Survey on Aesthetic/Cosmetic Procedures (2022)
- Rohrich RJ, Ahmad J. Rhinoplasty — Plastic and Reconstructive Surgery (2011)
- Rohrich RJ et al. Alarplasty: A Systematic Approach — Plastic and Reconstructive Surgery (2017)
Medical disclaimer: This information is for educational purposes only and does not replace professional medical advice. Individual results, recovery times, and suitability vary. Always consult a qualified surgeon before making decisions about treatment.
What's Included
- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
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