Nostril Reduction Surgery

About the Procedure

Nostril reduction surgery, also known as alar base reduction or alarplasty, is a cosmetic procedure that aims to reshape and narrow the nostrils. The goal is to create a more balanced appearance of the nose in proportion to the rest of the facial features.

This procedure is purely elective and aesthetic, and outcomes vary between individuals. It is important to have realistic expectations and to understand that results cannot be guaranteed.

Who May Consider This Procedure

People who have wide or flared nostrils and are seeking to refine the shape of their nose may consider this surgery.

Before proceeding, you must:

Be in good general health.
Not smoke, as smoking can affect wound healing and increase surgical risks.
Undergo a face-to-face consultation with a qualified practitioner to discuss your goals, expectations, and suitability for the procedure.

If you are under 18 years of age, you will need a psychological assessment and an additional cooling-off period, as required by the Medical Board of Australia guidelines.

Initial Consultation

During your initial consultation:

Your medical history, including pre-existing conditions, medications, and allergies, will be reviewed.
Your practitioner will examine your nose and face to determine whether the procedure is appropriate.
The benefits, risks, and limitations of the surgery will be discussed in detail.
You will have the opportunity to ask questions and discuss your preferences.
A mandatory 7-day cooling-off period applies before scheduling the surgery to ensure you have adequate time to consider your decision.

How the Procedure Is Performed

The surgery is usually performed under local anaesthesia, meaning you will be awake but your nose will be numbed.
A small wedge-shaped section of soft tissue is carefully removed from the outer or lower base of each nostril to create a narrower appearance.
The incisions are closed with fine sutures.
The procedure generally takes around one hour to complete.

Recovery and Aftercare

Mild swelling and bruising around the nose are normal and typically subside within one to two weeks.
Most people can return to light daily activities within a few days, but strenuous activities should be avoided until cleared by your practitioner.
You may be given pain-relief medication and antibiotics to assist with comfort and reduce infection risk.
Regular follow-up appointments will be scheduled to monitor your healing progress.

Your practitioner will provide detailed aftercare instructions tailored to your recovery needs.

Risks and Possible Complications

As with any surgical procedure, there are risks and potential complications, which will be explained to you before giving consent. These may include:

Infection
Bleeding or haematoma (blood accumulation)
Visible or thickened scars
Asymmetry or uneven nostril shape
Delayed healing
Unsatisfactory aesthetic result, which may require revision surgery

While complications are uncommon, it is important to be aware that results cannot be guaranteed.

Important Considerations

Nostril reduction surgery is not medically necessary and is performed for aesthetic reasons only.
You will be given written information about the procedure, risks, and aftercare before giving consent.
A minimum 7-day cooling-off period is required between your consultation and surgery.
If you are under 18, additional assessments and a longer cooling-off period apply.