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Q. Learn About Changes Before and After Alar Reduction Surgery Without Implants and Alar Reduction Surgical Methods

Kowon Plastic Surgery · 김형택원장의 답변노트 · October 24, 2025

​ Hello, I’m Dr. Kim Hyung-taek of Kowon Plastic Surgery. The nose is located at the center of the face and plays an important role in determining overall impression and balance. I...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Kowon Plastic Surgery

Original post date: October 24, 2025

Translated at: April 22, 2026 at 2:11 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Q. Learn About Changes Before and After Alar Reduction Surgery Without Implants and Alar Reduction Surgical Methods image 1

Hello, I’m Dr. Kim Hyung-taek of Kowon Plastic Surgery.

The nose is located at the center of the face and plays an important role in determining overall impression and balance.

In particular, even small differences such as the width of the alar area or the height of the nasal tip can greatly change a person’s impression,

so when performing surgery, it is important to consider whether implants will be used, along with skin thickness and structural stability.

Today, let’s look at a natural alar reduction surgical method through a case of before-and-after alar reduction surgery performed without implants.

Q. Learn About Changes Before and After Alar Reduction Surgery Without Implants and Alar Reduction Surgical Methods image 2

Q.

After the college entrance exam, I’m considering nose surgery without implants.

My broad alar area has been stressful since I was young, so I’ve been looking into alar reduction surgical methods.

However, inserting a nose implant such as silicone feels burdensome,

so I’m wondering whether there are cases where the before-and-after results of alar reduction surgery without implants look natural.

Would it be okay to correct only the nasal tip? Or would it be more effective to do the bridge as well?

The bridge is somewhat present overall, but there is almost none near the glabella.

#BeforeAndAfterAlarReductionSurgery #AlarReductionSurgicalMethod #KowonPlasticSurgery

A.

Hello. This is Kim Hyung-taek, consulting physician on HiDoc-Naver Knowledge iN.

You are planning nose surgery without implants after the college entrance exam.

If you are hoping for changes before and after alar reduction surgery without nose implants,

it is important to first closely examine the current nasal structure and the width of the alar area.

If you already have a certain amount of bridge height, surgery can be performed without an implant by focusing on elevating the nasal tip.

If the columella area is slightly recessed and the alar area is wide,

an alar reduction surgical method that slightly raises the nasal tip and brings the alar area inward may be appropriate.

If correction to slightly bring out the columella is performed at the same time,

overall balance can be improved and the before-and-after change from alar reduction surgery may appear more natural.

Also, even if the bridge is not made higher, raising the center of the nasal tip can

soften the overall impression and create the result of a more refined-looking nasal tip.

Among alar reduction surgical methods performed without implants,

this is a good approach for maintaining a natural appearance.

However, since the extent of change before and after alar reduction surgery can vary depending on face shape, skin thickness, and alar width,

it is best to check the detailed alar reduction surgical method based on your current condition during an actual consultation.

If you carefully decide on the direction of surgery, you should be able to achieve a more stable result.

I hope you have a good outcome. Thank you.

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Hello, I’m Dr. Kim Hyung-taek, the CEO director of Kowon Plastic Surgery.

Among people who are concerned about a bulbous nose, many especially want to improve a shape that makes the alar area look spread out.

The woman in today’s case also had a typical bulbous nose with a wide and low nasal tip,

and through consultation, we proceeded with a natural and harmonious bulbous-nose alar reduction.

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Looking at the photo, the nasal tip cartilages were spread outward on both sides, making it appear that alar reduction surgery was necessary.

This woman wanted a non-artificial, soft line through nose surgery near Gangnam Station,

and in particular wanted to reduce the width of the alar area while improving the bulbous nose shape to better balance the center of the face.

From the front, it did not look severe, but there was also a slight bend in the bridge toward one side.

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After consultation, we decided to correct it by tying the nasal tip cartilage to straighten the center.

When this process is considered together with bulbous-nose alar reduction, it can produce a more natural result.

Also, if the septum is deviated, it is better to correct it at the same time,

because even if a bent bridge is not very noticeable when the nose is low, it may become more emphasized once the nose is raised.

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Comparing before and after surgery, you can see that the previously low nasal tip was raised and the shape of the nostrils became more balanced.

In particular, through alar reduction surgery, the dull impression was improved to look clearer and more three-dimensional.

As a result, the face changed to a softer, more feminine image, while the positive changes from bulbous-nose alar reduction were also evident.

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Silicone 4 mm was used to create a natural line,

and ear cartilage was used to supplement the areas lacking septal cartilage, adding stability.

When alar reduction surgery and nasal tip correction are performed together like this, it can reduce the burden of scarring,

and the results of bulbous-nose alar reduction may also be maintained for a longer time.

Q. Learn About Changes Before and After Alar Reduction Surgery Without Implants and Alar Reduction Surgical Methods image 8

The spread-out alar area was refined into a slimmer shape after surgery and was designed so that it would not look unnatural even when smiling.

Some people worry about scars or unnaturalness after alar reduction surgery,

but in reality, because the incision range is limited, stable results can be expected after recovery.

The woman in this case also achieved a striking change in impression through bulbous-nose alar reduction.

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In the front-view comparison, the width and overall size of the nose have been reduced in a balanced way, creating a cleaner impression.

To improve a bulbous nose, reducing only the alar area is not the only answer,

and in some cases, correcting it with nasal tip cartilage tying alone may be sufficient.

However, when bulbous-nose alar reduction is performed together, the overall harmony appears more complete.

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Even when performed with an incision method, the scar is not large and will naturally fade over time.

Today, I introduced a case of natural improvement by combining bulbous-nose alar reduction with alar reduction surgery.

I hope this was helpful for those interested in nose surgery near Gangnam Station.

Kowon Plastic Surgery pursues harmonious results through detailed consultation and a systematic plan.

Make a reservation for a consultation at Kowon!

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