This belongs to the nose facing the sky, which is characterized by upward nostrils, more exposed nostrils and short nose bridge. Nose facing the sky is a unique nasal deformity in the east, which is mainly the result of poor development of nasal bone and cartilage. At present, there are basically two surgical methods for nose reduction:

1, when the alar is not too wide, it can be inserted into the auxiliary column in the nasal columella. 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.