Introduction

Alar reduction surgery, also known as alarplasty or alar base reduction, has gained significant popularity in recent years, especially in a cosmopolitan city like New York. This surgical procedure focuses on refining the size and shape of the nostrils, addressing issues such as wide nasal bases or flared nostrils. For individuals in New York City seeking alar reduction surgery, choosing the right hospital and surgeon is crucial. In this article, we will present the top 5 popular hospitals for alar reduction surgery in New York City in 2025 and explore related aspects of the procedure.

What is Alar Reduction Surgery?

Alarplasty, the technical term for alar reduction surgery, is a specialized cosmetic procedure. It is a type of facial plastic surgery that targets the alars, which are the outer edges of the nostrils. Surgeons perform this operation to achieve several aesthetic goals:

• Reduce wide nasal bases: Some people have a wider alar base, which can make the nose appear disproportionate to the rest of the face. Alar reduction surgery can address this issue by narrowing the base of the nose.
• Adjust nostril size: Whether the nostrils are too large or uneven in size, this procedure can reshape them to create a more balanced and aesthetically pleasing appearance.

During the alarplasty procedure, surgeons carefully make an incision in the natural crease of the nostril. This strategic placement helps to minimize the visibility of scars. The surgeon then removes excess tissue and reshapes the nasal structure. A common technique used is the wedge excision technique, where a wedge - shaped piece of tissue is removed. After the tissue removal, the incisions are secured with sutures.

Benefits of Alar Reduction Surgery

The benefits of alar reduction surgery extend beyond just cosmetic improvement:

1. Wide nostrils reduction: It is highly effective in reducing the width of wide nostrils, which can have both cosmetic and functional benefits. For example, patients may feel more confident about their appearance, and in some cases, it can also improve nasal airflow.
2. Improved nose shape and facial features: By altering the size and shape of the nostrils, the overall nose shape is enhanced, which in turn improves the harmony of facial features. This can help patients achieve a more balanced and attractive facial appearance.
3. Reduction of nasal blockage: In some cases, wide nostrils or a wide alar base can contribute to nasal blockage. Alar reduction surgery can address these issues, improving breathing function.
4. Compatible with other rhinoplasty procedures: It can be seamlessly integrated with other types of nose surgery, such as rhinoplasty. This allows for a more comprehensive facial transformation, where the overall shape and structure of the nose can be refined in conjunction with alar reduction.

Top 5 Popular Hospitals for Alar Reduction Surgery in New York City in 2025

1. SamanMD

Dr. Saman’s clinic at SamanMD is dedicated to providing the highest standard of care in alar base reduction surgery. They focus on a minimally invasive approach for maximum aesthetic enhancement. The clinic's approach is centered around achieving a subtle yet impactful change in the nose shape that perfectly harmonizes with the patient's unique facial features.

When it comes to patient suitability, potential candidates for alar base reduction at SamanMD should have realistic expectations about the outcome of the facial surgery. Ideal candidates are those who understand the goals of the surgery, have specific desires regarding the reduction of nostril size or nose width, and are in good health. During a detailed consultation, the cosmetic surgeon evaluates the patient's health conditions and discusses realistic expectations.

The cost of alarplasty at SamanMD can vary based on factors such as the complexity of the surgical procedure, the surgeon’s expertise, and the geographic location of the practice. Patients are advised to consider these aspects along with potential distance and additional expenses when planning their surgery.

In addition to alar base reduction, Dr. Saman offers various types of rhinoplasty that can be combined with alarplasty. These include scarless rhinoplasty (performed using incisions inside the nose for no visible scars, suitable for minor adjustments), ultrasonic rhinoplasty (using ultrasonic tools to precisely reshape the nasal bones for more complex structural changes), ethnic rhinoplasty (addressing the unique features of different ethnic groups while maintaining cultural characteristics in the nasal appearance), Asian rhinoplasty (focusing on the specific characteristics of Asian facial structure for both aesthetic and functional aspects), and revision rhinoplasty (undertaken to correct or improve the results of previous nose jobs, often involving more complex surgical techniques).

2. LM Medical NYC

LM Medical NYC, located in Greenwich Village and the Upper East Side, offers nostril reduction surgery and alar base reduction. Large or flared nostrils are a common concern among patients seeking rhinoplasty, and this clinic provides a solution without the need for a complete nose job.

The procedure at LM Medical NYC involves making small, discreet incisions at the base of the nose to adjust the size and shape of the nostrils. The goal is to create smaller, narrower nostrils that look more refined while leaving the rest of the nose untouched. This approach is particularly beneficial for patients who only have concerns about the size or shape of their nostrils.

Dr. Lesley Rabach, a top double - board - certified facial plastic surgeon at LM Medical NYC, specializes in rhinoplasty and cosmetic nose surgery. Patients interested in nostril or alar base reduction surgery can contact the clinic to schedule a consultation with Dr. Lesley.

3. Dr. Jeffrey Lisiecki

Dr. Jeffrey Lisiecki, a surgeon specially trained in facial aesthetic and rhinoplasty, offers alar base reduction in NYC. The procedure, also known as alarplasty or nostril reduction surgery, aims to adjust the width of the nose’s bottom part, reduce nostril size, improve nasal symmetry, and create facial harmony.

During the alarplasty procedure, the surgeon first numbs the area under operation using an anesthetic, and the entire process takes about one hour. Once the nose is numb, an incision is made to remove tissue where the nostril and the cheek meet. The shape of the incision depends on the desired results. After removing a wedge of the nostril, the doctor brings the nostrils inwards to create a better balance with the face. The same process is then repeated on the other side of the nose. In some cases, specialists may combine several techniques to achieve more satisfying results. Alar base reduction procedures can be performed alone or as a component of more comprehensive modern rhinoplasty procedures.

Ideal candidates for alar base reduction at Dr. Jeffrey Lisiecki's practice should be in perfect health condition, be non - smokers, have fully recovered from previous surgeries near and around the nose area, and have realistic expectations of the outcome. The benefits of the surgery include minimal scarring (as scars can be hidden under the nose creases), natural results, a smaller and more balanced nose, less invasiveness compared to rhinoplasty, minimized nostril flare, and a boost in the patient's confidence.

Patients preparing for the alarplasty surgery at this clinic are advised to stop taking alcohol, smoking vapes or cigarettes, and taking blood - thinning medication such as aspirin and Advil two weeks before the operation. After the surgery, the stitches take about 7 - 10 days to be removed. Patients may experience redness, swelling, and bruising, and the swelling can last up to a few weeks. They can resume their daily routine and fitness after three weeks, and following tips such as keeping the area clean, following the doctor’s post - surgery instructions, elevating the head to reduce swelling, avoiding alcohol for at least two weeks after the surgery, and avoiding sleeping on the face can quicken the recovery process.

4. Dr. Casian Monaco

Dr. Casian Monaco, located in New York City’s Upper East Side, performs nostril reduction surgery with precision and an artistic eye. His clinic is renowned for delivering results that harmonize with each patient’s unique facial features.

Alar base reduction, a key component of nostril reduction surgery at Dr. Monaco's practice, involves carefully resizing the base of the nostrils. This technique is particularly effective for patients who feel their nostrils are too wide or large in proportion to their nose and face. Dr. Monaco’s experience in this intricate procedure ensures a natural, aesthetically pleasing outcome that respects the delicate balance of the patient's facial structure.

The significance of nostril reduction in facial aesthetics is substantial. The nose plays a pivotal role in the overall balance and harmony of the face, and even minor adjustments to the nostrils can have a profound impact on one’s appearance. Nostril reduction surgery with Dr. Monaco addresses asymmetrical nostrils, reduces nostril size for better proportionality with the face, refines the nasal tip, and improves facial harmony.

Dr. Monaco believes in a personalized approach to nostril reduction surgery. Understanding that each face is unique, he plans each procedure to align with the individual’s aesthetic goals. This personalized approach sets his practice apart on the Upper East Side, making him a sought - after expert in nasal reshaping.

5. Dr. Joseph Rousso

Dr. Joseph Rousso specializes in rhinoplasty procedures, including alar base or nostril reduction. One of the most common complaints for those considering rhinoplasty is that their nostrils or the base of their nose is too wide, and Dr. Rousso offers solutions to create the desired beauty and balance.

Wide nostrils are a common trait, especially with some types of ethnic noses. They can appear to flare or upturn, causing disproportion of the nasal base and the rest of the nose or other facial features, which can be more pronounced when smiling and make individuals self - conscious. Dr. Rousso uses advanced techniques and his own proprietary rhinoplasty method, 3 - dreams, to minimize the width and size of the nostrils while retaining symmetry and balance of the aesthetic features. The results look natural, without any noticeable scarring.

Patients concerned that their nostrils appear too wide and wanting to explore alar base reduction surgery can contact the office of Dr. Rousso in New York City for a consultation. His extensive education, experience, and talent as a facial plastic surgeon make him a reliable choice for achieving a well - balanced nose and enhanced appearance.

Factors to Consider When Choosing a Hospital for Alar Reduction Surgery

Surgeon's Expertise

The expertise of the surgeon is of utmost importance. Look for surgeons who are board - certified in facial plastic surgery or a related specialty. Check their experience in performing alar reduction surgeries, their success rates, and patient testimonials. A skilled surgeon will have a deep understanding of nasal anatomy, use the latest techniques, and be able to create a personalized treatment plan based on your unique facial features and goals.

Hospital Reputation

Research the reputation of the hospital. Consider factors such as its accreditation, awards, and recognition in the medical field. Hospitals with a good reputation are more likely to have high - quality facilities, a well - trained staff, and a commitment to patient safety and satisfaction. You can also look for online reviews and feedback from previous patients to get an idea of the hospital's performance.

Range of Services

Choose a hospital that offers a comprehensive range of services related to alar reduction surgery. This may include pre - operative consultations, post - operative care, and the option to combine alar reduction with other rhinoplasty procedures if needed. A hospital with a wider range of services can provide a more seamless and integrated treatment experience.

Cost and Insurance

Understand the cost of the alar reduction surgery at the hospital. The cost can vary depending on several factors, such as the complexity of the procedure, the surgeon’s fees, and the location of the hospital. It is also important to check if the hospital accepts your insurance and what the insurance coverage for the surgery is. You may need to contact your insurance provider to clarify the details.

Patient - Centered Care

Look for a hospital that provides patient - centered care. This means that the hospital staff should be responsive to your concerns, provide clear and detailed information about the procedure, and support you throughout the entire treatment process. A hospital that values patient - centered care will ensure that you feel comfortable and informed at every step.

Recovery and Aftercare for Alar Reduction Surgery

The recovery period following alar reduction surgery, or alarplasty, typically spans 1 - 2 weeks for the initial healing. Patients can usually resume normal activities a week after surgery, but they should avoid strenuous activities and exercise for a few weeks. The full recovery process, seeing the long - lasting results, may take up to 1 - 3 months.

During the recovery period, patients need to follow certain aftercare instructions:

• Keep the area clean: Regularly clean the area around the nostrils as instructed by the surgeon to prevent infection.
• Follow post - surgery instructions: This may include taking prescribed medications, changing dressings, and attending follow - up appointments.
• Reduce swelling: Elevating the head can help reduce swelling. Some patients may also be advised to use cold compresses in the initial days after surgery.
• Avoid certain activities: Patients should avoid alcohol for at least two weeks after the surgery and avoid sleeping on their face to prevent any pressure on the nose.

Conclusion

In 2025, the top 5 popular hospitals for alar reduction surgery in New York City - SamanMD, LM Medical NYC, Dr. Jeffrey Lisiecki, Dr. Casian Monaco, and Dr. Joseph Rousso - offer a variety of options for individuals seeking to refine the size and shape of their nostrils. Alar reduction surgery can have significant benefits, including improved facial harmony, reduced nostril width, and enhanced self - confidence. When choosing a hospital for this procedure, it is crucial to consider factors such as the surgeon's expertise, hospital reputation, range of services, cost, and patient - centered care. The recovery process requires careful attention to aftercare instructions to ensure a smooth and successful outcome.

If you are considering alar reduction surgery, take the time to research these hospitals and schedule consultations with the surgeons. Discuss your goals, concerns, and expectations to make an informed decision. Your journey to a more balanced and attractive nasal appearance starts with choosing the right hospital and surgeon. Share this article with others who may be interested in alar reduction surgery and explore more about the field of facial plastic surgery to stay informed.