Alar Base Reduction

The alar region includes cartilage and soft tissue structures that influence both nasal appearance and airflow. This procedure may be performed as part of a rhinoplasty or, in some cases, as a standalone procedure when assessed as clinically appropriate.

If alarplasty is being considered following rhinoplasty, it is important that healing from the prior procedure is complete. Your treating practitioner will advise on the appropriate timing and suitability based on your clinical assessment.

Procedure Overview

The procedure involves the removal of a small, measured portion of soft tissue at the base of the nostrils. Incisions are typically placed in natural skin creases to reduce the visibility of scars. The amount of tissue removed is customised based om clinical indications to the patient’s nasal structure and functional considerations.

Post-operative care plays an important role in supporting the healing process. Incisions are typically closed with sutures, and specific aftercare instructions will be provided based on individual needs.

Suitability for Alar Base Reduction

Eligibility is determined following a full clinical and psychological assessment, including:

• Two preoperative consultations with Dr Shahidi and his team.
• Evaluation of physical anatomy, general health, and psychological wellbeing

A suitable candidate may:

• Present with features assessed as suitable for modification
• Be in good overall health and a non-smoker
• Have realistic expectations and psychological readiness for surgery as determined during clinical and psychological assessment

Under AHPRA guidelines, a psychological assessment may be required may be required prior to surgery. This ensures patients:

• Have the capacity to provide informed consent
• Understand the risks and limitations of surgery
• Are making the decision for appropriate reasons
• Sensitive mental health issues must be handled cautiously

If any concerns are identified during assessment, a referral to an independent psychologist or counsellor may be recommended. A mandatory 7-day cooling-off period applies after the second consultation, in accordance with the Medical Board of Australia’s guidelines.

A mandatory 7-day cooling-off period applies after the second consultation before scheduling cosmetic surgery, as required by APHRA.

Aftercare And Recovery From Nose Alar Reduction

Alar Base Reduction may include the following risks, which vary between individuals:

• Infection
• Scarring
• Asymmetry
• Possibility of revision surgery

Recovery expectations include:

• Mild swelling and discomfort for 1–2 weeks
• Healing generally begins within 7–10 days, but may vary
• Final scar fading may take several months to settle

When combined with rhinoplasty, recovery time may be similar to that of the primary procedure.

Post-operative care instructions are provided based on clinical assessment and may include:

• Application of topical treatments
• Limiting physical activity for two weeks
• Scheduled follow-up visits to monitor healing

Choosing a Qualified Surgeon

If you are considering this procedure, it is important to consult a qualified surgeon with relevant training and specialist registration recognised by AHPRA.

Dr Shahidi, Otolaryngology, Head and Neck Surgery MED 0001167352 is a Fellow of the Royal Australasian College of Surgeons (FRACS) and has completed advanced training in facial plastic surgery through the Australasian Academy of Facial Plastic Surgery (AAFPS) and the European Academy of Facial Plastic Surgery (EAAFPS).