Dr. Paul Denton with a patient that is having alarplasty surgery at Refine Cosmetic Surgery in Vancouver, BC

Alarplasty

Alarplasty in Vancouver, BC

A refined surgical technique that narrows the width of the nostrils and reshapes the base of the nose for improved facial harmony. Small, carefully placed incisions allow excess tissue to be removed or repositioned, resulting in a more balanced nostril shape and a slimmer nasal base.

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The First Step
Procedure at a Glance
The Recovery

01. The First Step

Alarplasty refines the width of the nostrils, the alar base, for patients whose nostrils appear wide or flared relative to the rest of the nose and face. It can be performed on its own as a targeted refinement or as part of a broader rhinoplasty plan.

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Nostril shape varies enormously between individuals and ethnic backgrounds, and preserving your identity is central to Dr. Denton's approach. In consultation, he assesses your nasal base in proportion to your nose, lips, and overall facial structure, and explains precisely how much narrowing would create balance without ever looking operated on.

02. Procedure at a Glance

Alarplasty is performed as an outpatient procedure, you will arrive, have your procedure, and return home the same day. The process from arrival to departure typically takes two to three hours in total, including preparation and post-procedure.

Before the procedure begins, the area is carefully marked and the local anaesthetic is administered. Once you are fully numb and comfortable, Dr. Denton works with precision to remove a carefully calculated amount of tissue from each side, guided by the measurements taken during your consultation. Both sides are assessed together throughout the process to ensure symmetry.

You will be awake and comfortable throughout. Most patients describe the experience as calm once the anaesthetic has taken effect. The procedure itself typically takes 60–90 minutes, after which fine sutures are placed and you are observed briefly before being discharged.

03. The Recovery

Recovery from alarplasty is straightforward and manageable. The most notable restriction is the 7-day suture period, during which gentle care of the area is important. Most patients are surprised by how quickly they feel like themselves again.

Mild swelling and tenderness around the base of the nose is expected in the first few days and resolves steadily. Bruising, if present, is typically minimal and contained to the immediate treatment area.

Dr. Denton and the Refine care team are reachable throughout your recovery. Your follow-up appointments are included, and we never charge for visits related to your healing. If something doesn't feel right, we want to hear from you.

Concerns

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Treatment Time

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How It Works

Consultation & Planning

― frequently Asked Questions

Discover More About

Alarplasty

Find clear, professional answers to common questions about our procedures and services.

What exactly does the alarplasty correct?

Will there be visible scarring?

Are the results permanent?

Can I combine an alarplasty with a rhinoplasty?

Do I need general anesthesia?

Commonly Combined With

Alarplasty

Rhinoplasty

Rhinoplasty, or nose reshaping surgery, is designed to bring harmony to your facial features while preserving what makes you unique.

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I am 63 years old and I just had lower eye bag surgery with Dr Paul Denton. From the first moment I walked in to Refine Cosmetic Surgery clinic to today, my care and customer service is off chart amazing.

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As for Dr Denton, very professional and incredibly skillful. Double board certified and it shows. My results are simply amazing very clean looking and it took 10 years off life.

Jeff Y.

Verified Review | Google

100% satisfied with surgery and more! Dr. Denton is a highly skilled surgeon who is detailed and attentive with nuance. He and his wonderful staff are totally dedicated to the comfort and wellbeing of the patient. When the follow ups are over, I will miss them! Thank you so much for making this experience a successful one.

Terry Y.

Verified Review | Google

Dr. Denton performed blepharoplasty... I was honestly amazed at the results. Not only did it 'literally' open my eyes to just how restricted my vision had been, I feel like it has taken years off me.

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Dr. Denton and his entire team were wonderful. Very patient in answering any questions I had... If I ever need to have anything else done - you can bet I will be going back to Dr. Denton and his great team.

Tracy B.

Verified Review | Google

The moment I met Dr. Denton and his team, I felt completely at home. His commitment to quality work and natural-looking results is evident in everything he does. I wholeheartedly recommend Dr. Denton to anyone considering facial surgery.

If you value the latest techniques, safe and thoughtful care, excellent results, and being treated like family, you won't find a better team.

Kelly H.

Verified Review | RealSelf

― contact us
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  • Clinic Address
    1366 W Pender St
    Vancouver, BC
  • Office Hours
    Mon–Fri
    9AM–5PM
  • Phone Number
    +1 604 681 6399
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