The best way to correct the big nose is alar reduction, which uses marginal incision or intercostal incision to cut off the fibrous adipose tissue of alar cartilage and nasal cartilage evenly.

Surgical method of alar reduction 1:

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;

Nasal alar reduction operation mode 2:

1. If the alar is wide and the nostril is wide, partial resection of alar base and nostril reduction can be performed cautiously. 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 length of scar after operation is generally less than1cm;

2. If the alar margin is wide, the free alar margin can be partially removed, and the incision can be stitched on the inner surface of the alar after trimming;

3. If the nostril is not big, the alar is too thick or the upper part of alar groove is too full, you can make a skin incision along the front edge of the lateral foot of alar cartilage, peel off the skin and the alar cartilage below, remove the swollen soft tissue on the cartilage surface, and then appropriately remove the upper and outer parts of alar cartilage; Then cut off a diamond-shaped vestibular skin and nasal mucosa in the nostril, and cut off excess adipose tissue. Finally, the incision on the edge of the nostril is sutured with the incision on the inner side of the base of the alar. The length of scar visible after operation is generally less than 1CM.