The Subtle Nose Change That Makes a Big Difference: Your Guide to Alarplasty

Not every nose concern requires a full rhinoplasty. For many patients, the issue is not the size or shape of the nose overall, it is the width or flare of the nostrils specifically. Wide nostrils, nasal flaring, or a broad alar base can make the nose appear out of proportion with the rest of the face, even when everything else is balanced.

Alarplasty, also known as alar base reduction or nostril reduction surgery, is a precise, targeted procedure that addresses exactly this concern. By modifying the shape and width of the nostrils, alarplasty creates a more symmetrical, balanced, and proportionate nasal appearance without the recovery associated with full rhinoplasty.

This guide from the clinical team at Signature Clinic explains everything you need to know before booking your consultation.

What is alarplasty?

Alarplasty is a cosmetic procedure that modifies the shape of the nose by removing a small amount of skin from the wing, or ala, of the nose. The outcome is typically a narrower, more defined nasal base that looks more symmetrical and proportionate to the rest of the face.

Technically, alarplasty is a specific type of rhinoplasty, but it focuses exclusively on the alar base and nostrils rather than the nasal bridge, tip, or overall structure. The procedure takes approximately one hour under local anaesthetic. Most patients return to work within five to seven days, with full recovery in three to four weeks.

At Signature Clinic, all patients must be at least 18 years old before undergoing alarplasty surgery, as the nose should have reached its full adult size.

Who is alarplasty suited to?

Alarplasty is one of the most commonly requested procedures among both adults and young adults in their late teens and early twenties. It is suited to patients who:

• Are bothered by wide, flared, or asymmetrical nostrils
• Want a more symmetrical nasal base in proportion with their facial features
• Are in good overall health with realistic expectations
• Are over the age of 18, the minimum age at Signature Clinic

The procedure is appropriate for patients of all backgrounds and ethnicities. The goal of alarplasty at Signature Clinic is always to maintain the nose’s natural appearance, not to dramatically alter it, but to refine it subtly in a way that enhances overall facial harmony.

The alarplasty procedure at Signature Clinic

Step 1, Consultation: Your surgeon assesses the shape, width, and symmetry of your nasal base in relation to your overall facial proportions, and discusses your goals to determine the most appropriate surgical approach. Book your free consultation here.

Step 2, Incision planning: If the surgeon believes that combining different incision approaches will produce the greatest results, this may be done. The intention is always to keep the nasal base looking natural. Incisions are placed to be as discreet as possible.

Step 3, Tissue removal: A small amount of skin is carefully removed from the wing of the nose. The amount removed is precisely calculated to achieve a narrower base while maintaining a natural appearance.

Step 4, Closure: Fine sutures close the incisions. Healing typically progresses well, with scars becoming less noticeable over time.

Step 5, Aftercare and recovery: Patients receive full post-operative guidance and a follow-up plan, including a clear timeline of results and practical tips for minimising swelling.

Alarplasty vs rhinoplasty, what is the difference?

This is one of the most common questions patients ask before their consultation. Here is a straightforward comparison:

Alarplasty targets the alar base and nostrils only. It is performed under local anaesthetic, is a shorter procedure, has a faster recovery, and is designed for patients whose concern is specifically nostril width or flare rather than the overall nose shape.

Rhinoplasty addresses the nose as a whole, including the bridge, tip, height, and overall structure. It is a more complex and extensive procedure, typically performed under general anaesthetic, with a longer recovery.

If your concern is specifically the width of your nostrils or nasal flare, alarplasty is likely the more appropriate and less invasive solution. Your surgeon will confirm the right approach at your consultation.

Alarplasty results, what to expect

The results of alarplasty at Signature Clinic are considered permanent, although they are slightly susceptible to the natural ageing process over time. Because alar reduction surgery is irreversible, patients are encouraged to take time to consider their decision carefully and to discuss their goals honestly at consultation.

If a patient is not satisfied with the outcome of their initial alarplasty, revisional surgery may be performed to make corrections. However, patients should be aware of the potential for severe scarring and abnormal contouring from revisional procedures. Your surgeon will discuss this fully at your pre-operative consultation.

The nasal base will appear narrower and more defined once post-operative swelling has resolved. A step-by-step guide to the healing process and a realistic timeline of final results is provided at your pre-operative appointment.

Alarplasty cost UK

At Signature Clinic, alarplasty is priced at a fixed cost of £2,195, which includes the procedure, anaesthesia, and aftercare. This all-inclusive fixed price means you can plan your treatment with complete confidence and no hidden fees.

For a no-obligation quote, book a consultation with Signature Clinic today.

Please refer to our pricing page for the most up-to-date figures, as prices may be updated from time to time.

Why choose Signature Clinic for alarplasty?

GMC-registered consultant surgeons: Every alarplasty at Signature Clinic is performed by a named, GMC-registered consultant surgeon. You meet your surgeon at your free consultation.

Natural results: The intention of every alarplasty at Signature Clinic is to maintain a natural nasal appearance, refining, not altering.

10 regulated UK clinic locations: Available across London, Manchester, Glasgow, Birmingham, Liverpool, Edinburgh, Cardiff, Dublin, Altrincham, and Marylebone. Find your nearest clinic.

CQC, HIW, and HIS regulated: All Signature Clinic locations are independently inspected and regulated.

Book your free consultation today