SECTION 01
Assess width, flare and nostril shape separately
A wide base at rest, dynamic flare when smiling, thick alar tissue, nostril asymmetry and tip position are not the same concern. The surgeon should examine the nose in motion and from several views before deciding whether alar-base treatment is relevant.
Facial width, lip shape, columella, tip projection and previous rhinoplasty also affect perceived balance. A numeric ratio or edited photograph can support discussion but should not dictate tissue removal.
- Compare relaxed and smiling photographs.
- Point out asymmetry before any procedure.
- Ask how tip changes could alter the apparent alar base.
SECTION 02
Understand incision and scar trade-offs
Different patterns place incisions within or around the nostril sill and alar crease. Scar visibility depends on technique, skin response, tension, wound care and individual healing; it cannot be guaranteed invisible.
Ask how much tissue is proposed for removal, how the design protects nostril shape and how over-narrowing or notching is avoided. Revision can be difficult, so conservative planning and clear limits matter.
SECTION 03
Protect airway function and natural movement
Nasal-base surgery can interact with the external nasal valve and nostril movement. Report existing obstruction, collapse with breathing, previous scars, injections or surgery, and ask whether functional assessment is needed.
Discuss risks such as asymmetry, visible or raised scars, wound problems, altered sensation, nostril distortion, over- or under-correction and breathing change. The consultation must be individualized and should not promise perfect symmetry.
SECTION 04
Plan scar reviews and travel
When the treating team selects local anesthesia, a patient may leave on the same day after observation and discharge clearance; sedation, combined treatment or individual findings can require a different pathway. If external sutures are used, review or removal is often considered around day 7, but the final schedule belongs to the treating team. International travel still requires clinical clearance.
The actual anesthesia may differ if alar work is combined with rhinoplasty. Ask for cleaning, ointment, sun protection, expression and exercise instructions, and do not leave Shanghai before the team completes required wound review and clears travel.
- Confirm whether the procedure is standalone or part of rhinoplasty.
- Keep the early wound area free from unapproved products.
- Know how to report redness, opening, bleeding or breathing changes.