The Ranking of Experts for Surgical Nasal Ala Reduction in New York City and Plastic Comparison Photo Albums! 2025

Introduction

In the realm of cosmetic surgery, nasal ala reduction has gained significant popularity, especially in a vibrant and image - conscious city like New York. A well - proportioned nose can enhance facial symmetry and boost self - confidence. In this comprehensive article, we will explore the top experts for surgical nasal ala reduction in New York City in 2025. Along the way, we'll also discuss the procedure itself, its benefits, risks, and provide insights based on the latest research and patient testimonials.

What is Nasal Ala Reduction?

Nasal ala reduction, also known as nostril reduction or alar base reduction, is a surgical procedure aimed at improving the symmetry and balance of the nose. Some individuals may be self - conscious about large or prominent nostrils, which can disrupt the harmony of their facial features. This procedure is designed to address such concerns.

During nasal ala reduction, tissue is removed from strategic locations at the base of the nose. It can be performed as a standalone procedure or in combination with other nasal cosmetic or functional surgeries, such as rhinoplasty. When done as a single procedure, it can often be carried out under local anesthesia in an office setting, with relatively low risk.

Relevant Anatomy

To better understand nasal ala reduction, it's essential to have a basic knowledge of nasal anatomy:

• Ala: The alar lobule is the convex part that connects with the cheek at the alar - facial junction. It's made up of skin, fibrofatty fascia, and muscle (not cartilage) and helps define the lateral aspect of the nostril opening.
• Alar Rim: This connects the nasal tip lobule to the alar lobule and is mainly composed of the lateral crura of the lower lateral cartilages. The shape and strength of this cartilage play a crucial role in defining the nostril opening.
• Columella: It is the central partition of the nasal base that separates the nostrils. It consists of skin, membranous septum (and the cartilaginous septum deeper inside the nose), and the medial crura of the lower lateral cartilages. The columella defines the medial (inner) aspect of the nostril opening.
• Nasal Sill: This is the inferior (lower) part of the nostril opening. It's a soft tissue prominence that helps define the natural border between the upper lip and the nose.

Types of Nasal Ala Reduction

The main types of nasal ala reduction surgery include:

Top Experts for Surgical Nasal Ala Reduction in New York City

Dr. Gary Linkov

Dr. Gary Linkov is a board - certified facial plastic surgeon in New York, specializing in nasal surgery. He is the chief of otolaryngology and facial plastic surgery for the veterans hospital in Brooklyn, NY, where he has extensive experience operating on complex nasal deformities. In his private practice in the Upper East Side (UES) of Manhattan, he focuses on cosmetic and functional rhinoplasty, as well as nostril reduction surgery.

Patients who have undergone surgery with Dr. Linkov often praise his professional demeanor, highly skilled technique, and detailed knowledge of the procedure. One patient who had surgery in December 2019 stated, “His professional demeanor, highly skilled, confident and detailed knowledge of such a precision - demanding craft left me in a state of awesomeness! I trust this gentle doctor and highly recommend him to anyone who is considering any of the services that his practice provides!”

Dr. Joseph Rousso

Dr. Rousso specializes in rhinoplasty procedures, including alar base or nostril reduction. He has the education, training, and expertise in rhinoplasty and takes a balanced approach, focusing on both the artistic form and the necessary function of the nose. Using advanced techniques and his proprietary 3 - dreams rhinoplasty method, he can minimize the width and size of the nostrils while maintaining symmetry and balance, resulting in a natural - looking outcome without noticeable scarring.

If you're concerned about wide nostrils and want to explore alar base reduction surgery, Dr. Rousso's office in New York City is a great place to start. He is committed to helping patients feel confident in their appearance and achieve a well - balanced nose.

Dr. Cangello

Dr. Cangello is NYC’s preeminent rhinoplasty surgeon. He offers customized treatment plans and transformative results. With decades of experience in the nuanced field of rhinoplasty, he has honed his skills to create noses that are both functionally superior and cosmetically beautiful.

When it comes to nasal base reduction surgery, he carefully evaluates each patient's unique nasal anatomy to determine the most appropriate surgical technique. He uses techniques like alar wedge excision, nasal sill excision, and v - y advancement, either alone or in combination, to narrow the nasal base and reduce alar flare. Recovery from nasal base reduction with Dr. Cangello is relatively quick, with most patients seeing significant improvement in about one to two weeks.

Dr. Sam Rizk

Dr. Sam Rizk is a double - board certified plastic surgeon who performs rhinoplasty in NYC. He is highly sought - after both in the United States and internationally, having treated members of royal families, celebrities, and patients from around the globe.

Dr. Rizk specializes in sophisticated rhinoplasty techniques using the latest technology. He has an in - depth understanding of the technical aspects of a nose job and the importance of the cosmetic outcome. He takes a personal interest in each patient, working closely with them to ensure they are happy with their new look. His extensive experience allows him to perform various types of rhinoplasty, including alar base reduction, with high precision and natural - looking results.

Patient testimonials for Dr. Rizk are overwhelmingly positive. One patient said, “I am a month out of surgery, and I now fully believe Dr. Rizk is the best nose surgeon in the world, period. He has an immaculate eye for detail, and can detect even the smallest of subtleties. In the consultation, he picked up on all my concerns and knew exactly what I was looking for without me having to say it.”

Dr. Lesley Rabach

Dr. Lesley Rabach is a top double - board certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery. At LM Medical NYC in Greenwich Village and the Upper East Side, she offers nostril reduction surgery and alar base reduction.

She understands that large or flared nostrils can be a source of self - consciousness for many patients. With her expertise, she can perform the procedure using small, discreet incisions at the base of the nose to adjust the size and shape of the nostrils, leaving the rest of the nose untouched. Her goal is to help patients achieve a more balanced and refined appearance.

Dr. Jeffrey Lisiecki

As a surgeon specially trained in facial aesthetic and rhinoplasty, Dr. Jeffrey Lisiecki 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, reducing nostril size and improving nasal symmetry and facial harmony.

Dr. Lisiecki takes a personalized approach to each patient, as every nose is unique. He carefully explains the procedure to the patient and determines the best surgical technique based on their specific goals and nasal anatomy. The alarplasty procedure is usually performed under local anesthesia and takes about one hour. After the surgery, his patients follow a recovery plan to ensure a smooth healing process.

Dr. Saman

Dr. Saman's clinic is dedicated to providing high - standard care in alar base reduction surgery. His approach focuses on minimal invasiveness for maximum aesthetic enhancement. He performs alarplasty, or alar base reduction, by carefully making an incision in the natural crease of the nostril to remove excess tissue and reshape the nasal structure.

Alarplasty with Dr. Saman can effectively reduce the width of wide nostrils, improve nose shape and facial features, reduce nasal blockage, and is compatible with other rhinoplasty procedures. He ensures that patients have realistic expectations and provides detailed information about the procedure, recovery time, and potential risks during the consultation.

Dr. Casian Monaco

Dr. Casian Monaco performs nostril reduction surgery with precision and an artistic eye at his clinic in New York City’s Upper East Side. Alar base reduction, a key part of his practice, is done with great care to resize the nostrils’ base for patients who feel their nostrils are too wide or large in proportion to their nose and face.

He believes in a personalized approach, understanding that each patient's facial features are unique. His goal is to create a natural, aesthetically pleasing outcome that respects the delicate balance of the facial structure. Patients at his clinic can expect a seamless experience from consultation to recovery.

Preparing for Nasal Ala Reduction

Before undergoing nasal ala reduction, there are several steps you should take to ensure the best results:

• Avoid Certain Medications and Supplements: Some medications and supplements can thin the blood, increasing the risk of bleeding during and after surgery. These include NSAIDs (such as ibuprofen and naproxen), aspirin, and vitamin E. You should stop taking these a few weeks before the procedure as advised by your doctor.
• Stop Smoking: Tobacco products can decrease blood flow to the skin and compromise the healing of the surgical site. It's important to stop smoking at least two weeks before and after the surgery.
• Pick Up Medications: Your doctor will likely prescribe you certain medications, such as an antibiotic to prevent infection, pain medication to manage discomfort, and optionally, a sedative medication. Make sure to pick these up from the pharmacy before the surgery.
• Arrange for an Escort: If you receive sedative medication during the procedure, you will need someone to accompany you home. Arrange for an escort in advance.

What to Expect on the Day of the Procedure

On the day of your nasal ala reduction surgery:

• Fasting: It is important not to eat or drink 2 hours before the surgery to avoid complications during anesthesia.
• Taking Medications: You will take the prescribed medications in the office just before the surgery. Nasal ala reduction rhinoplasty is often performed under local anesthesia, so discomfort will be minimal during the procedure.
• Procedure Time: Including time spent checking in to the doctor's office, marking out the surgical sites, anesthesia injections, surgery, and recovery, you should plan to be at your doctor’s office for about 3 hours.

Recovery from Nasal Ala Reduction

Most people recover well after nasal ala reduction surgery. Here's what you can expect during the recovery process:

• Bruising and Swelling: It is normal to experience bruising and swelling after the surgery. These typically resolve within 1 - 2 weeks, though swelling may linger for longer. Applying cold compresses and keeping your head elevated can help reduce swelling.
• Suture Removal: Sutures are usually removed at 5 - 7 days after the surgery.
• Final Results: Over the following weeks to months, the incision site will continue to heal and mature. You will typically see the final results at about 6 months - 1 year post - operatively. If the scarring is unfavorable, treatments with steroids, laser, dermabrasion, or surgical revision may be needed.

Risks and Complications of Nasal Ala Reduction

Like any surgical procedure, nasal ala reduction carries some risks and complications:

• Bleeding: There is a risk of bleeding during and after the surgery. In most cases, it can be managed effectively, but in rare cases, additional treatment may be required.
• Infection: The surgical site can become infected. Your doctor will prescribe antibiotics to reduce this risk, but it's important to keep the area clean and follow post - operative instructions.
• Poor Scarring: Scarring can occur, and in some cases, it may be more noticeable or less favorable. However, experienced surgeons take steps to minimize scarring and use techniques to make scars as inconspicuous as possible.
• Poor Aesthetic Outcome: The results may not meet your expectations. This can be due to various factors, such as unforeseen tissue reactions or difficulty in achieving the desired shape. Revision surgery may be an option in some cases.
• Asymmetry: There is a risk of the nostrils not being perfectly symmetrical after the surgery. Surgeons try their best to achieve symmetry, but small differences can still occur.
• Nasal Obstruction: Over - correction of the nostrils can lead to nasal obstruction, affecting breathing. This is a rare but serious complication that may require further treatment.
• “Q” or “Teardrop” Deformity: This can occur when the nasal sill is entered at its most lateral extent during the surgery.
• Lip Malposition: In some cases, the position of the lip may be affected by the surgery.

Alternatives to Nasal Ala Reduction Surgery

Rhinoplasty

When the nasal tip is weak, the nasal base tends to widen. In such situations, instead of just performing nostril reduction, a septorhinoplasty procedure that strengthens the nasal tip may be more appropriate. As the nasal tip becomes more projected, the nasal base tends to narrow, which may achieve the goals of nostril reduction without additional incisions. This can also improve nasal breathing in addition to the cosmetic appearance.

Fillers

A study published in 2016 found that hyaluronic acid - based filler could be used for the treatment goal of alar base narrowing and/or nostril shape alteration. However, this area proved to be the most difficult to treat, with only 22 - 45% of patients attaining satisfactory results. Therefore, fillers are not the preferred method for nostril reduction.

Cost of Nasal Ala Reduction

The cost of nasal ala reduction depends on several factors. The location and expertise of the surgeon are two of the main factors that will determine the cost. Surgeons with more experience and a higher reputation may charge more. Additionally, the complexity of the procedure, the facilities used, and any associated medications or follow - up care can also affect the overall cost.

Conclusion

In conclusion, nasal ala reduction is a popular cosmetic surgery that can greatly enhance facial symmetry and improve self - confidence. In New York City, there are many highly skilled experts who specialize in this procedure. From Dr. Gary Linkov's extensive experience in complex nasal cases to Dr. Sam Rizk's sophisticated techniques and patient - centered approach, patients have a wide range of options. However, it's important to carefully consider the procedure, its risks, and the surgeon before making a decision.

If you're interested in nasal ala reduction, we encourage you to schedule a consultation with one of the experts mentioned in this article. Discuss your goals, concerns, and expectations, and they can help you determine if the procedure is right for you. Share this article with friends or family who may be interested in learning more about nasal ala reduction in New York City. You can also explore other related topics on cosmetic surgery to gain a more comprehensive understanding of your options.