Hello, 1, if the alar is not too wide, you can insert an auxiliary column at the small column. When cartilage transplantation is done on the tip of the nose, the tip of the nose will stand up and the alar will shrink, so no other operation is needed. Therefore, whether it is necessary to reduce the alar should be evaluated and judged after the nose tip standing operation; 2. alar resection is mainly suitable for orientals or blacks. It is a method to reduce the alar when the nasal base is too wide or the nostrils are too large. When the alar is wide, it is mostly because the alar skin is redundant. We need to cut off the skin under the alar and sew up the incision to narrow the alar, which will make the nostrils look very long. The incision is left at the junction of nose and cheek, and the scar is not obvious.