Alar adjustment refers to a surgical technique that reduces flared or wide nostrils. The outer edges of the nostrils are known as the alar. Alar adjustment is commonly performed in combination with width reduction.
The surgeon can effectively change the level of tension that is causing the excessive width in the nostrils by excising a portion of tissue.
The Weir technique is a specialized alar adjustment approach that involves a particular incision type. The surgeon eliminates tissues to develop a wedge-shaped cavity and subsequently sutures it to develop the desired contours.
Certain ethnic patients are more likely to have flared nostrils in addition to a nasal flare. It is commonly seen in African Americans. Some patients feel that wide nostrils and/or flared nostrils can distract from other facial features. This can affect the patient’s self-image and impact their confidence.
Judicious double board certified plastic surgeon Dr. Geoffrey R. Keyes provides rhinoplasty to patients in Beverly Hills, Los Angeles, Bakersfield, California, and surrounding communities in The Golden State.
The surgeon will remove a wedge of tissue from the sides of the nostrils near the junction with the cheek in a procedure known as alarplasty. The wedge base will be the level of the alar rims, and the pointed apex will be near the sides where the nose connects to the cheek groove.
The amount of tissue excision will depend on the width of the nostrils. Many surgeons and patients seek to measure the change in mm narrowing on the frontal view. However, this can be challenging as the wedge size removed does not accurately reflect the frontal narrowing distance.
The surgeon will ask the patient if they want minor, medium, or significant change. Most patients seek a medium change. It is vital to remember that further tissue reduction is always possible if the patient feels that the nostrils are still too wide. But excessive tissue removal is difficult to reverse.
Certain nose surgeons use a suturing technique to draw the walls in medially. It may lead to tissue bunching and is likely temporary. Yet other surgeons place incisions only within the nostrils fearing incision placement on the outside.
But this approach does not offer dramatic changes. Incisions on the outside heal well and are properly concealed next to the alar groove. This incision is made in the area where the nostrils connect to the cheeks which help the scar to remain discreet in the natural crease between these regions.
Nostril narrowing (alarplasty) is an effective procedure that can be undertaken by itself without performing a full rhinoplasty and offers dramatic outcomes.
After the Surgery
The patient will experience some discomfort and pain in the nose region as well as some inflammation and puffiness during the initial few days after the surgery. The pain will subside in two to three days. However, the inflammation will take longer to resolve.
It is normal for patients to experience minor bleeding in the incision areas. This bleeding typically resolves in around two days. The facial swelling will start to subside in around one week and should be entirely gone by two weeks.
The patient will need to return to the office to have their bandages removed around the third day of recovery. The sutures will be taken out at the end of week one. Focused double board certified plastic surgeon Dr. Geoffrey R. Keyes receives patients from Beverly Hills, Los Angeles, Bakersfield, California, and other towns and cities in this part of the US for rhinoplasty.
For more information on the surgical and non-surgical procedures and treatments by Double Board Certified Cosmetic Plastic Surgeon, Dr. Geoffrey R. Keyes, please contact us at (800) 859-7509. Offices in Los Angeles and Bakersfield, CA.
Serving Greater Los Angeles, Beverly Hills, Orange County and surrounding areas of California.