When the bridge of the nose is low and the alar is slightly wide, rhinoplasty can achieve the natural effect of narrowing the alar to the middle, but if the alar is wide or too thick, it is necessary to perform alar reduction.
If the alar margin is wide, the fusiform skin tissue can be removed along the alar free margin to reduce the alar; If the base of the alar is too wide and the nostril is too wide, symmetrical fusiform skin resection can be done at the base of the alar to narrow the alar and narrow the nostril. If the alar is thick or the upper part of the alar sulcus is too full, a part of alar cartilage can be appropriately removed, and excess adipose tissue can be removed to narrow the distance between the two alars, so as to achieve the purpose of narrowing the alar. The operation should ensure the symmetry of bilateral resection and suture.