Alarplasty – Alar Base Reduction in Melbourne

Alarplasty is a specific type of rhinoplasty that aims to reshape the nostrils. It usually involves cutting part of the nostril cartilage (called “alae”) to change either the shape or size of your nasal opening and sides of the nose.

Other terms for Alarplasty also include alar trimming, alar reduction and alar base reduction.

Alarplasty: A Nose Reshaping Technique to Address Nostril Concerns

Alarplasty is a specialized procedure designed to address issues related to both the shape and appearance of the nostrils. The nose plays a prominent role in overall facial aesthetics as it is front and center. Even minor imbalances in the width, projection, or symmetry of the nose can significantly affect your overall facial harmony.

The nostrils, in particular, are crucial components of the nose. Their shape can vary in terms of curvature and size, as well as, proportion. Some individuals may have nostrils that appear either too curved, too straight, too large, too small, or possess an upward curve that can create an unintentional snarling appearance.

Dr Kleid specializes in Alarplasty, a rhinoplasty technique specifically aimed at correcting and enhancing the appearance of deformed or aesthetically displeasing nostrils. As one of the leading ear, nose, and throat (ENT) surgeons in Melbourne, Dr Kleid has honed his expertise in developing advanced techniques to provide patients with well shaped nostrils that complement their other facial features.

By carefully addressing the specific concerns related to the nostrils, Dr Kleid can help restore facial symmetry and balance, ultimately improving overall facial aesthetics. Alarplasty offers a targeted solution to not only reshape, but refine the nostrils, harmonizing them with the rest of your facial features.



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Anatomy of the Nose

The nostrils have a core made of cartilage and is covered with skin. Cartilage refers to the flexible firm part of your nose.

The “alar base” is the imaginary horizontal line connecting the nostrils where they meet the cheeks.

The middle column separating the two nostrils is called the “columnella”, which also has a cartilage core.

The deformities related to the nostrils and alar cartilage can be summarized as:

Wide alae

This also translates to wide nostrils. In general, the ideal width of the nose should not exceed that of a single eye. Therefore, individuals that have anything wider may wish to change it.

If you have wide nostrils an alar base reduction may help.

Notched alae

We also call this nasal flaring. It’s when the sides of your nostrils are notched up, and therefore the columnella is visible from a profile view. Unfortunately, this can make it appear as if you are snarling. But, an Alarplasty can help the appearance of this nasal flaring.

Alar asymmetry

In other words, your nostrils might look different. One nostril may be larger than the other, or the shape may be visibly different, an Alarplasty, can alleviate the appearance of uneven nostrils.

Video – Is Alarplasty Surgery Right For You? by Dr Stephen Kleid


During your consultation with Dr Kleid, he will conduct a comprehensive evaluation of your nose and facial structure.

He will discuss your overall health, desired outcomes and surgical options. Then, he will create a personalized treatment plan tailored to your unique needs.

Dr Kleid’s extensive experience and meticulous approach ensure that each patient receives not only the highest level of care, but natural-looking, desirable results.

If you are considering Alarplasty or have concerns about the appearance of your nostrils, we encourage you to schedule a consultation with Dr Kleid. Take the next step towards achieving a more balanced and harmonious facial appearance, knowing you are in the hands of a skilled ENT surgeon dedicated to delivering exceptional outcomes.

Alarplasty: A Procedure to Enhance Nostril Appearance

snoring and sleep apnoea surgery

Alarplasty is a surgical procedure that addresses concerns related to either the shape and/or size of the nostrils. It can be performed as either a standalone procedure or in conjunction with other rhinoplasty techniques to achieve a more comprehensive nose job. The decision to combine Alarplasty with other procedures will depend on your specific goals, the desired outcome and also your surgeons advice.

Dr Kleid will perform the surgery under General Anesthesia. He will create 2 or 3 incisions. The location of the incisions are right below your nose, where the nostrils meet the face/cheeks. One incision under each nostril, and one under the columnella.

This allows Dr Stephen to have access to the deeper tissue of the nostrils; the alar cartilage.

Dr Kleid will then perform any combination of the following techniques to reshape your nostrils:

  • Bring the sides closer to the middle to make your nose and nostrils narrower. This is done to fix wide nostrils.
  • Bring your columnella up, and alar cartilage down, to fix the “snarling” appearance (notched nostrils).
  • Cut out a piece of the alar cartilage to reduce curvature and make the nostrils narrower

Once Dr Kleid is happy with the results, he will use very fine sutures to close the skin incisions under your nose.

Since the incisions are made along natural skin creases, they are usually easily disguised in the skin crease.

Potential Benefits of Alarplasty Surgery

Alarplasty can offer the following benefits:

  • Narrowing the Nostrils:
    • By modifying the width of the nostrils, Alarplasty can create a more proportionate appearance.
  • Enhancing Nostril Curvature:
    • The procedure can either add or reduce curvature to the sides of the nose, achieving a desired aesthetic outcome.
  • Straightening Nostril Shape:
    • Alarplasty can correct any asymmetry or irregularities in the shape of the nostrils, resulting in a more balanced look.
  • Widening the Nostrils:
    • In certain cases, widening the nostrils may be desired to improve breathing or address specific aesthetic concerns.
  • Correcting Notched Nostrils:
    • Alarplasty can address notched nostrils by repositioning the sides of the nostrils to cover any protruding middle portion.
  • Correcting Nostril Asymmetry:
    • Alarplasty can help address asymmetry issues by reshaping the nostrils to create better symmetry and balance.
  • Alleviating Breathing Issues:
    • In some cases, Alarplasty may also help nasal airflow and alleviate breathing difficulties caused by structural abnormalities.

It is important to note that the exact techniques used in Alarplasty will vary based on individual factors and the desired results.

Nose Before and After Gallery

See more of Dr Stephen Kleid’s previous nose surgery patients before and after surgery


Recovery After Alarplasty

After undergoing an Alarplasty, it is important to follow a proper recovery process to ensure optimal healing and results. Below is a general summary of the Alarplasty recovery period, however, each patients recovery will vary:

  • Immediately After Surgery:
    • You will be closely monitored in a recovery area.
    • Your nose may be covered with either a splint or bandages to provide support and protection.
    • You will likely experience some swelling, bruising, and discomfort during this initial phase.
  • First Few Days:
    • It is normal to experience some swelling and bruising around both the nose and eye area.
    • Pain medication prescribed by your surgeon can help manage any discomfort.
    • It is crucial to keep your head elevated and avoid any activities that can strain your nose.
  • Swelling and Bruising:
    • Both swelling and bruising are common after Alarplasty and will gradually subside over the next few weeks.
    • Applying cold compresses to the affected area as recommended by your surgeon can help reduce swelling.
  • Stitches Removal:
    • If non-absorbable stitches were used, they will typically be removed within a week after the surgery.
    • Your surgeon will provide instructions on when and how to have the stitches removed.
  • Physical Activity:
    • It is essential to avoid any strenuous activities, exercise, and heavy lifting for several weeks to prevent complications and allow proper healing.
  • Nasal Care:
    • Your surgeon will provide instructions on how to care for your nose during the recovery period.
    • This may include keeping the surgical site clean, using saline sprays or nasal irrigations as recommended, and avoiding any nasal trauma.
  • Follow-up Appointments:
    • You will have scheduled follow-up appointments with your surgeon to monitor your healing progress and address any concerns or questions you may have during the recovery process.
  • Healing and Results:
    • It takes time for the swelling to fully subside, and the final results of Alarplasty may take several months to become apparent.
    • It is essential to be patient and follow your surgeon’s post-operative instructions for optimal healing and long-term results.

Remember, every individual’s recovery process may vary, and it is crucial to follow your surgeon’s specific guidelines and recommendations for a successful Alarplasty recovery. If you have any concerns or experience unexpected symptoms during your recovery, it is important to contact your surgeon promptly.

What is The Cost of Alarplasty in Melbourne?

The cost of alarplasty surgery in Melbourne can vary depending on several factors, including the surgeon’s expertise, the complexity of the procedure, the geographic location of the clinic, and any additional fees associated with the surgery. It is best to consult with a qualified plastic surgeon in Melbourne to get an accurate estimate of the cost.

During a consultation, the surgeon will evaluate your specific case and discuss your desired outcome. They will provide you with a comprehensive quote that includes the surgeon’s fees, anesthesia fees, facility fees, as well as, any other associated costs.

It is important to consider that the cost of Alarplasty surgery may also include pre-operative consultations, post-operative care, and any necessary follow-up appointments.

It is recommended to thoroughly discuss the costs involved with your chosen surgeon and ensure that you have a clear understanding of what is included in the quote.

Remember, while cost is an important consideration, it is equally important to choose a highly skilled and experienced surgeon who prioritizes patient safety and delivers satisfactory results.

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Frequently Asked Questions


Why Choose Dr Kleid ?

Dr Stephen Kleid,
Cosmetic Rhinoplasty

Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.

Dr Kleid’s Procedures

How can we help?

Dr Kleid’s Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the Hawthorn East clinic in Melbourne between 8 am – 6 pm on Weekdays.

Phone,  Email or Book a free 15-minute Call with Dr Kleid’s team.

What Next?

Want more information about your Procedure?

  • For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
  • Talk to our Patient Care Team from 8 am to 6 pm Monday to Friday on 
    1300 599 990

What to Bring to Your Consultation

  • We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
  • It is important to take thorough notes and carefully review all the documents provided to you.

How to Book a Consultation

  • Dr Kleid’s Consultation fee is $600 which includes a nasendoscopy ($300).
  • A referral from your GP or Specialist is necessary to see Dr Kleid for a consultation. (As of July 1st 2023)
  • Please contact the Patient Care Team at Coco Ruby Plastic Surgery today to book your consultation.


The information presented in this article is provided solely for educational and informational purposes. It is not intended to substitute professional medical advice, diagnosis, or treatment. Always consult with your physician or qualified healthcare provider regarding any medical condition or concerns you may have. Do not disregard or delay seeking professional medical advice based on the information provided in this article. The author and publisher of this article do not warrant the accuracy, applicability, or completeness of the content, and any reliance on the information presented is at your own discretion and risk.