1, if the alar edge is wide, the redundant alar tissue can be removed, so as to achieve the purpose of narrowing the alar and make the nostrils look very long. Sometimes, according to the specific situation of patients, it is feasible to use medial incision for alar reduction, with good postoperative effect and slight scar.

2. If the alar is wide and the nostril is wide, partial resection of the alar base and nostril reduction can be performed. The incision is located at the base of alar and the lower part of alar sulcus. Under local anesthesia, part of the full-thickness tissue of the alar base was properly removed, and then the nostril was rotated inward to narrow and sutured intermittently in layers. The postoperative marks are slight, almost invisible and very beautiful.

3. If the nostril is small, the alar is too thick or the upper part of the alar groove is too full, a skin incision can be made along the front edge of the lateral foot of the alar cartilage to secretly peel off the skin and the alar cartilage below to remove the swollen soft tissue on the cartilage surface. Then the upper and outer sides of alar cartilage can be properly cut off, and then a diamond-shaped vestibular skin and nasal mucosa can be cut off inside the alar base in the nostril to remove excess fat tissue. Finally, the incision on the edge of the nostril can be stitched with the incision on the inner side of the alar base.