The thick nose wing is commonly known as "garlic nose", which makes people look heavy and not delicate. Hypertrophy of alar is common in yellow race and black race, often accompanied by drooping alar.

Treatment: alar reduction surgery, the incision is located in the alar groove and the inside of the alar free edge, which is convenient for operation. Because the nose is in a prominent position on the face, the alar plastic surgery removes part of the alar tissue from the vertical and horizontal directions, corrects the alar length and reduces the nostril circumference. After operation, the alar hypertrophy was obviously improved compared with that before operation, and the appearance of the whole nose was more harmonious, adding aesthetic feeling, and the scar of the surgical incision was less concealed, which achieved a good cosmetic effect. It should be noted that after the alar plastic surgery, some small defects in the alar area will become obvious, such as the alar sulcus and the postoperative curvature of the alar lower edge.

However, alar contraction and alar contraction are mostly congenital malformations, which easily lead to the illusion of nasal columella drooping.

Treatment: incision was made above the nasal vestibule or at the base of the lateral alar, and the alar margin was quietly separated. A cavity is separated between the external nasal skin and the vestibular skin to accommodate the implant. An oval or rectangular cartilage was cut above the lateral foot of alar cartilage, and the implant was implanted in the cavity separated from the upper alar cartilage. The mattress is fixed and transplanted, the thread is pulled down and fixed on the upper lip with adhesive tape.