What should I do if my alar wings are too thick?

Thick alar rims are a common aesthetic concern affecting many individuals. Fortunately, the field of cosmetic medicine has advanced significantly in recent years, offering effective solutions for various nasal concerns—including thick alar rims. Alar reduction surgery is a highly effective procedure designed specifically to address this issue. Below, we provide a detailed overview of the surgical technique, required equipment, and preoperative preparations for alar reduction surgery.

What Can Be Done for Thick Alar Rims?

Surgical Technique for Alar Reduction

An incision is made either above the nasal vestibule or at the lateral base of the ala. The alar margin is then dissected subcutaneously, creating a pocket between the external nasal skin and the vestibular skin to accommodate the graft. An elliptical or rectangular piece of cartilage is harvested from the lateral crus of the alar cartilage and implanted into the previously created pocket at the superior aspect of the ala. The graft is secured with mattress sutures, with suture ends left long to allow downward traction; these are then taped to the upper lip for stabilization.

Equipment Required for Alar Reduction Surgery

Standard surgical instruments are used. An incision is made either above the nasal vestibule or at the lateral base of the ala. The alar margin is dissected subcutaneously, creating a pocket between the external nasal skin and the vestibular skin to accommodate the graft. An elliptical or rectangular piece of cartilage is harvested from the lateral crus of the alar cartilage and implanted into the previously created pocket at the superior aspect of the ala. The graft is secured with mattress sutures, with suture ends left long to allow downward traction; these are then taped to the upper lip for stabilization.

Preoperative Preparation for Alar Reduction Surgery

Avoid taking aspirin-containing medications for two weeks prior to surgery, as aspirin impairs platelet aggregation and increases bleeding risk. Patients with hypertension or diabetes must fully disclose their medical history during the initial consultation so the surgeon can evaluate suitability and tailor the surgical plan accordingly. Ensure you are in good general health, free from infectious diseases or active inflammation. Do not wear makeup on the day of surgery. Female patients should schedule the procedure outside of menstruation and lactation periods. Shower thoroughly before surgery and maintain cleanliness of the nasal area.

We hope the above information is helpful. Wishing you a happy and healthy life!