I had alar reduction surgery a few years ago, with an external incision on the alar area. The scar is still severe, and I keep wondering why I did it. I regret it a lot.. Even if you get alar reduction, absolutely do not do the type where they excise from the outside. Reducing the inside of the nostrils is okay, so if you really want to do it, get the surgery that reduces the inside. For reference, alar reduction Botox also has no effect.
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