Alarplasty Reshape of the Nostrils 

 Alarplasty is a surgical procedure to reshape and reduce the size of nostrils. A small, wedge shaped piece of skin is removed to create smaller and narrower nostrils.  Alarplasty is a popular procedure to combine with rhinoplasty to make the nose shape more refined and beautiful

 Rhinoplasty is a general term for any operation designed to change the nose shape and size such as hump removal, correcting bulbous or droopy nasal tips or other rhinoplasty surgeries to restore functionality such as deviated a septum, Alarplasty refers solely to the surgery to narrow the nostrils when the nostrils are too wide. Alarplasty involves removing skin from the nostrils and suturing the nostril closed thereby making the nostrils narrower. The incisions are made inside the nose and are contained to only the nose.

Alarplasty in Bangkok, Thailand

A Good Candidate for Alarplasty

  • People who feel have a wide alar flare and wide nostrils
  • Healthy
  • Realize expectation

Four techniques for alarplasty

Kamol Cosmetic Hospital offers various techniques for alarplasty are as follows:

1. To reduce an alar flare by alar wedge resection technique is performed by a wedge excision 1-2 mm above the alar facial- groove and then suture, this technique is suited for someone who has wide alar flare as a picture 1

Shows the incision scar to reduce the alar flare technique

Picture 1. Shows the incision scar to reduce the alar flare technique


2. A sliding alar flap technique performed to narrow the alar base the incision scar is outside of the nostrils base. This procedure is available for someone who has optimal nostrils but needs a narrow alar base as picture 2

Shows the incision scar to sliding alar flap technique

Picture 2. Shows the incision scar to sliding alar flap technique


3. A nostrils excision is performed to narrow alar base. The incision scar is in the base of nostrils. This technique is available for someone who has wide nostrils base as picture 3

Shows the incision scar to excising the middle of the nostrils base

Picture 3. Shows the incision scar to excising the middle of the nostrils base


4. Combination of alar wedge resection and a nostrils excision as a picture 4

Shows the incision scar to combination technique

 Picture 4. Shows the incision scar to combination technique


Preparation for alarplasty

  • Consult with your surgeon
  • Stop smoking before surgery at least two weeks
  • Stop some medicines, vitamin, or herbs that interfere with blood clotting such as aspirin


          Alarplasty is a simple and quick procedure that can totally transform the face. The nose takes centre stage in the face and has a huge effect on overall beauty and looks. Flared and large nostrils are easily fixed with this surgery and it often complements a rhinoplasty for a significantly better nose.

Procedure for alarplasty

  1. Local anesthesia
  2. Incision above the nasal crease or the way around mark site, remove the tissue out 
  3. Sutures and adjust the shape of the nostrils

Post-operative care for alarplasty

  1. Elevate the head to reduce the swelling
  2. Stop eating salty foods for 1-2 weeks to reduce swelling
  3. Stop alcohol two weeks after surgery
  4. Follow up with a doctor one month after surgery
  5. Keep clean every day 
  6. Take stitches off seven days after surgery
  7. The wound will be healing well takes 1-3 months
  8. Follow all post-operative instructions and attend all post-operative appointments

Risk and complication for alarplasty

  • After surgery may be redness, swelling, bleeding, or infection
  • Scarring
  • Asymmetry nostrils

Recovery for alarplasty

          You can return to work after one week; swelling persists for 1-2 weeks. Avoid strenuous exercise for a few weeks.  The final result will see at four weeks, and then continue improvement for several months.


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Before & After Alarplasty

Before and After Alarplasty

Before and After Alarplasty

Before and After Alarplasty

Before and After Alarplasty


See more Before and After

Frequently asked questions about Alarplasty

What kind of anesthetic will I need?

- In most cases Alarplasty can be performed under a local anesthetic. If it is combined with a full rhinoplasty a general anesthetic will usually be required.

What is the recovery time for Alarplasty?

- Recovery time for an Alarplasty is relatively quick compared to other facial surgeries. Your nose will be red and swollen initially, but this should recede in 1 to 2 weeks and final results can be seen in as little as 2 months.

What are the risks in Alarplasty?

- Whilst an extremely low risk procedure complications considered with this surgery include scarring and infection.

Will there be a visible scar?

There are a number of different procedures for this surgery and depending on the procedure used there is either no scar whatsoever or a practically invisible scar.

Is this operation likely to make a big difference to my looks?

The nose takes centre stage in the face and has a huge effect of overall looks. Alarplasty makes a massive difference to a person's looks because a flared nose can easily become more refined and beautiful.


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