Introduction
The alar region—the outermost part of the nostrils—plays a crucial role in defining nasal shape, symmetry, and airflow. Issues like flared, thickened, retracted, or asymmetrical alae can disrupt both facial harmony and breathing. This guide explains the anatomy and function of the alar base, common deformities, and advanced correction techniques offered by Dr. Milan Doshi in Mumbai. Explore surgical options, recovery tips, and cost insights for refined, symmetrical nostrils with lasting results.
What Is the Alar Region of the Nose?
The alar region refers to the nostril rims (alar cartilages) that help maintain nasal structure, shape, and function. These cartilages support the nostrils and play a significant role in nasal aesthetics and breathing.
Functions of the Alar Cartilages
- Structural support: Maintains nostril shape and prevents collapse.
- Airflow regulation: Keeps the nasal passage open for proper breathing.
- Aesthetic role: Defines the width and shape of the nostrils.
Anatomy of the Alar Cartilages
- Lower Lateral Cartilages (LLC): At the nasal tip and nostril edges; responsible for nostril shape and support.
- Medial Crura: Central portion of the LLC; provides tip support and projection.
- Lateral Crura: Extends toward the nostrils, contributing to base width and shape.
- Soft tissue & ligaments: Anchor the alar cartilages and add stability.
What Are Common Alar Deformities?
- Alar notch deformity
Cause: Weak/damaged cartilage, over-resection in rhinoplasty.
Appearance: Concave indentation along the alar rim.
Correction: Cartilage or composite grafts to restore contour. - Alar retraction
Cause: Congenital, trauma, or over-resection.
Appearance: Elevated nostrils with excessive inner nose show.
Correction: Cartilage grafting to lower and reshape the rim. - Alar collapse (nasal valve collapse)
Cause: Weak cartilage, aging, trauma.
Appearance: Nostrils collapse inward during breathing.
Correction: Alar batten grafts / valve reconstruction. - Alar flare
Cause: Genetic predisposition, excessive base width.
Appearance: Wide, flaring nostrils.
Correction: Alar base reduction (Weir excision). - Alar asymmetry
Cause: Congenital differences, prior surgery, trauma.
Appearance: Uneven nostrils.
Correction: Alarplasty (nostril reshaping). - Thick/bulky alar cartilage
Cause: Thick skin, excess cartilage tissue.
Appearance: Heavy or puffy nostrils.
Correction: Conservative cartilage trimming/refinement.
How Are Alar Deformities Corrected?
Alar deformity correction is typically performed through alarplasty, cartilage grafting, or structural rhinoplasty.
- Alarplasty (nostril reshaping): For flare/asymmetry; removes tailored skin/cartilage to refine shape.
- Cartilage grafting: For retraction/collapse; strengthens support using septal or ear cartilage.
- Alar base reduction: For wide nostrils; precise excision at the base to narrow width.
- Nasal valve repair: For functional collapse; supports weak valves with spreader or batten grafts.
Post-Operative Care for Alar Surgery
- Keep nostrils clean as advised to prevent infection.
- Avoid touching or pulling on the nose.
- Sleep with head elevated to reduce swelling.
- Use prescribed sprays/ointments as directed.
- Avoid heavy physical activity for 4–6 weeks.
Possible Complications
- Swelling and bruising (common in the first weeks).
- Minor scar visibility (usually minimal with well-placed incisions).
- Breathing difficulties (rare; may require revision).
- Nostril asymmetry (may need minor refinement).
Alar Surgery Cost & Considerations
Factors affecting cost: Surgeon’s expertise, extent of correction, use of grafts, hospital/clinic location.
- India: ₹50,000 – ₹1,50,000 (indicative).
- Mumbai (premium clinics): ₹1,00,000 – ₹2,50,000 (indicative).
Why Choose Dr. Milan Doshi for Alar Surgery in Mumbai?
Dr. Milan Doshi is a renowned facial cosmetic surgeon in Mumbai, specializing in alarplasty and rhinoplasty. With extensive experience, he focuses on natural-looking, balanced results tailored to each patient.
