Nasal alar plastic surgery can be performed under general anesthesia or local anesthesia, mainly depending on the scope of alar plastic surgery. If the doctor chooses general anesthesia, you will be in a deep sleep during the whole alar plastic surgery without any pain. If you choose local anesthesia, you will stay awake during the alar plastic surgery, but the nose and surrounding facial tissues will feel numb and have a little pain, but everyone can bear it.