Alar Base (Nostril Width) Reduction

What is Alar Base Reduction?

Alar Base Reduction or Nostril Width Surgery is a minor surgical procedure to reduce the width of the nostrils.  It is commonly used in facial plastic surgery to reduce the size of large, wide or flared nostrils or nostrils that are not in disproportion to the tip of the nose and the position of the eyes.  It is an effective procedure to change nasal appearance and refine a nose to create better facial harmony.

“In Australia, wide Alar Bases are common in Polynesian and Asian noses,” explains pioneering Australian ENT and Rhinoplasty Surgeon, Dr William Mooney.

“The face of Australians is changing – quite literally – through our ever expanding diversification of cultures,” he continues. “Therefore, Alar Base Rhinoplasty is without doubt becoming increasingly more popular within my Sydney Medical and Cosmetic Surgery.”

Alar Base Rhinoplasty can be performed as part of formal Rhinoplasty, he adds, “but more recently we have begun performing it as a stand alone procedure in our clinic, sometimes in conjunction with an injectable Rhinoplasty.”

“Now - in selected patients – we can also offer a scar less technique,” he continues. “This is particularly pertinent as many of the patients that are of an ethnicity that produces a wider Alar Base also have skin that is more prone to scarring.”

At the forefront of this new innovation in scar less Alar Base Rhinoplasty, Dr Mooney explains that he has long been passionate about developed and personally pioneering the procedure since completing his studies within a fellowship at the famous Lasky clinic in Beverly Hills.

The Surgical Procedure

The procedure of Alar Base Rhinoplasty is vastly different to that of Injectable Rhinoplasty or traditional Rhinoplasty procedures, notes Dr Mooney, however, some integral steps never vary. “As always assessment is essential,” he assures.

“We take a history and photos and show the patient using digital imaging software exactly how refined their new nose could be,” he explains. Then, under local anesthetic and guided by absolutely precise measurements, an ellipse of tissue is removed from the ‘sill’ of the nostril.

“The new contour is sewn into place using dissolving sutures which takes about an hour,” he concludes, noting that pain is minimal and patients can return to work the same day!

However, as fault proof as it appears, Dr Mooney is quick to point out that the Alar Base procedure is as much about medical results as it is cosmetic. “All Rhinoplasty is the combination of form and function and Alar Base reduction is no different,” he cautions.

“A nose not only has to look good, it has to work well too!”


If you are considering Alar Base Reduction please take the time to contact our experienced patient co-ordinator using our Online Inquiry Form for further information on pricing and procedural information.  Or to book a consultation today please call 1300 379 455.


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