What exactly does an alarplasty narrow?
The alar base: the flared side walls of the nostrils and the fleshy rim around them. Rewind describes the goal as trimming alar width to the proportions of the individual face. The bridge is untouched, and the tip changes only if tip work appears as a separate line on the plan.
How do the incisional and the thread methods actually differ?
The incisional method cuts on the inner nostril floor, removes alar tissue, then excises excess skin and closes in the alar crease. The thread method makes a needle puncture on the outer alar wall and cinches a special thread that draws in alar and columellar width together, with recovery the clinic describes as quicker.
Where does the incision sit, and will the scar show?
Inside the nostril or along the crease where the ala meets the cheek, which the clinic states makes the scar difficult to see. A closure line is still a scar. How it matures varies between individuals, and a history of keloid or hypertrophic scarring is raised at consultation before surgery is agreed.
Can the size of the nostril opening be changed as well as the width?
Through the incisional route, yes. Rewind states that this approach reaches the inner floor of the nostril and so allows the size of the opening to be adjusted. The thread route works on width at the alar wall and the columella, so it does not offer the same control.
How is the target alar width decided?
By measurement on your own face. The clinic publishes a front-view target of one fifth of the facial width, aligned with the inner and outer corners of the eye and close to the distance between the eyes, plus a base view in which the nostrils approach an equilateral triangle.
Does a narrower base change how the bridge looks?
It can, with individual variation. Rewind's own answer is that as alar width comes in, the balance of the whole nose shifts, so the tip can read more defined and the bridge can appear taller. That is an optical change in the surrounding proportions; the bridge itself is not altered.
Can an alar reduction be done in the same operation as bridge and tip surgery?
Combined nose plans are common, and the clinic prices every correction separately, so bridge, tip and alar work each appear as their own line. Whether they run in one session is settled at examination, along with which route the alar part takes.
How long does the thread method hold?
Rewind publishes no duration for the non-incisional narrowing, so no number is stated here. The clinic says only that recovery from it is quicker. If the length of the effect is what decides your choice, ask the surgeon to compare the two routes for your own alar thickness.
What does the clinic ask me to avoid while the nose settles?
Pushing anything into the nose and pinching it while blowing are both ruled out. Discharge is blotted away gently with gauze or clean tissue, and sleeping is done with the head held high. Those are the instructions Rewind publishes for this operation.
Do I have to stop wearing glasses after an alar reduction?
For about a month, yes. The clinic asks that spectacles and sunglasses stay off the nose for roughly four weeks. Frames rest and drag across the region that has just been closed, and that pull lands close to the crease where the skin was sutured.
What can go wrong after an alar base reduction?
Bleeding, infection, prolonged swelling, asymmetry between the sides, altered sensation around the nostril, a scar that stays visible in the crease, and a small step or notch at the rim where tissue was removed. Any of those can lead to a further procedure, and outcomes vary between individuals.
What does the clinic leave unstated about this operation?
Four things are absent from Rewind's alar page: which anaesthesia is used, how long the operation runs, the day the stitches come out, and how many days swelling lasts. None of them is estimated here. All four are confirmed by the surgeon once your route and your listed items are fixed.
