Alar Resection or alar reduction is a plastic surgery of the nose to narrows the wide flaring and large opening of the nasal nostrils.
Preparation before Surgery:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the night before and the morning of surgery
- The use of anesthesia during your nose surgery
- Post-operative care and follow-up
The alar of the nose is reduced and suture in its position, aim is to make the balance of nasal tip and alar.
Normally, you will feel some pain and discomfort at the nose area as well as experience nose puffiness during the first days after the operation but it can be alleviated by the medications prescribed, which you will take for 7 days to avoid any further complication. You will also be instructed to sleep with the head higher than the chest to help reduce swelling and any discomfort. It can also help you recover fast. After 2 or 3 days, you will feel no pain but swelling in the nose and eyelid area will persist, although most of our patients report that they experience a little bruising only in the dorsum of the nose. You should not be alarmed if there is some bleeding from the incision site, as this is normal and often resolve within 2 days. Swelling and bruising around the eyes will start to disappear within a week and will completely subside for about 2 weeks. You will be required to see the surgeon on the third day for the removal of the bandage/splint, then on the 7th and 10th day for the removal of stitches.
You can go back to work after 1 or 2 weeks, but avoid strenuous activities that can increase pressure to the face, which can prolong swelling and bruising for the next 2 to 3 weeks. After the removal of the bandage and stitches, the patient must take care of her/his nose not to be injured until it is completely healed. The frames of glasses should not be allowed to rest on the bridge of the nose for three weeks. Using contact lenses can be resumed within two to three days after the surgery.
Possible Risks and Complication
A little bleeding is common during the first few days following surgery, patient may continue to feel some stuffiness for several weeks. Patient must try not to blow nose for a week or so, while the tissues heal.