This operation is not complicated. Generally speaking, to make a big nose smaller, it is necessary to remove too much skin and tissue, even a part of cartilage. There may be traces of surgery in a short time after operation, but after 3~6 months, this trace will become flat and shallow, not obvious and not easy to see.
Generally, a butterfly-shaped incision is made along the alar margin, the skin is separated to expose alar cartilage, the alar cartilage is removed at the vault, then the upper part is sutured, reshaped, the extra connective tissue and fat under the skin are removed, and the alar cartilage is finally sutured.