In your case, it's a defect of the alar, which needs plastic surgery. The specific treatment plan can not be determined until the hospital outpatient service.

Doctor Hu

(Dr. Hu Xiaogen solemnly reminds me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )

China-Japan Friendship Hospital Hu Xiaogen/