Alarplasty — Nasal Alar Refinement Tailored for Asian Patients Seeking Natural Nasal Balance

For many Asian patients, the width, thickness, drooping, or hanging of the nasal alar rim can make the nose appear broader, heavier, or less defined than desired. Alarplasty is a precise surgical procedure designed to refine the shape, width, and position of the nostrils to create a smaller, more balanced nasal appearance in harmony with the tip and columella.

At Dr. Gorn Aesthetique, alarplasty is approached as part of an overall nasal balance assessment. The ideal alar width, nostril shape, and alar-columellar relationship are carefully evaluated in proportion to each patient's unique facial features — ensuring results that look refined and natural, never operated.

Common Alar Concerns We Address

▶️ Wide alar base — nostrils too broad relative to the nasal tip and facial width ▶️ Flaring nostrils — outward-spreading nostrils that widen excessively during expression ▶️ Thick or heavy alar rims — bulky nostril edges making the nose appear heavy and undefined ▶️ Drooping alar rim — downward positioning creating an unbalanced alar-columellar relationship ▶️ Alar hanging — excessive downward visibility of the alar rim below the columella from the side, creating a heavy and unbalanced nostril appearance ▶️ Asymmetric nostrils — uneven alar shape or position between left and right sides ▶️ Imbalanced alar-tip-columella relationship — disproportionate nostril size relative to tip projection and columellar show

Surgical Techniques Available

✅ Alar base reduction — surgical narrowing of the nostril base through precise incision at the alar-facial junction, minimizing visible scarring ✅ Alar rim reshaping — thinning and recontouring of thick or heavy alar rims ✅ Alar rim resection for hanging correction — precise trimming of the inferior alar rim to reduce excessive nostril show from the lateral view, restoring a natural alar-columellar relationship ✅ Alar rim graft — cartilage support to correct drooping or retracted alar rims ✅ Combined alarplasty with rhinoplasty — alar refinement performed simultaneously with tip or bridge correction for comprehensive nasal harmony

Highlights — Precise reduction of wide, flaring, thick, drooping, or hanging nostrils — Restores natural balance between alar width, tip, and columella — Incisions placed at the natural alar crease — minimal visible scarring — Suitable as a standalone procedure or combined with rhinoplasty — Natural-looking refinement — not an operated appearance

Suitable For ✔ Asian patients with a wide or flaring alar base ✔ Thick, heavy, or drooping alar rims ✔ Alar hanging causing excessive nostril visibility from the side profile ✔ Asymmetric nostrils affecting overall nasal balance ✔ Disproportionate nostril size relative to nasal tip or columella ✔ Those combining alarplasty with tip or bridge rhinoplasty

Our alarplasty is managed by specialist physicians:

👨🏼‍⚕️ Dr. Suwin Somngeon (Medical License No. 22337) & Dr. Witsanu Jullamusi (Medical License No. 47752) — Facial Plastic Surgeons

Together, our surgeons provide precise, individualized analysis of alar and nasal balance concerns unique to each patient.

⚠️ Important Disclaimer Results may vary for each individual, depending on nasal anatomy, skin thickness, and alar structure. A medical consultation and evaluation is recommended prior to making any decision.