The third feature of an Asian nose is the broad overhanging alar or flaring of the alar. When the alar position is lower than the colummella or midline of the nose, it gives the appearance of a short and rounded nose. The alars can be reduced in thickness and height by performing a wedge excision of the overhanging alar tissue at the rim. An incision is also made along the alar groove to rotate the alar inwards. This surgery removes the overhanging effect of the alar, reduces the bulkiness, narrows the alarbase as well as triangulates the lower third of the nose.
This procedure is called alarplasty and takes about 1.5 hours.