What's the Difference Between Nasal Alar Rim Lift and Nasal Alar Lift? How to Choose? Improving Sagging Nasal Wings
Many people are unsure about the difference between alar rim elevation and alar base elevation.
Both alar rim elevation and alar base elevation are procedures suitable for individuals concerned about drooping nostrils, but they differ in the specific areas they target and the concerns they address.
This time, we’ll take a detailed look at two treatments. Learn about their differences and find a way to resolve your concerns.
What Are Nasal Alar Rim Elevation and Nasal Alar Elevation? Explaining Their Features
First, let’s take a detailed look at the characteristics of alar rim elevation and alar base elevation.
Characteristics of Nasal Alar Rim Lift Surgery|Refining Drooping Nasal Rims

【What is Nasal Wing Lift Surgery?】
Nostril rim lift is a procedure that involves partially removing skin along the edge of the nostrils.
Lift drooping nostrils for a sharper nose. This procedure is ideal for those concerned about a heavy-looking nose or nostrils with an unnatural shape.
【Benefits】
By adjusting the shape of the nostril rim, we can achieve an elegant finish where the nostrils are less noticeable from both the front and side views.
【Precautions, Risks, and Side Effects】
In alar rim elevation, achieving harmony with the entire face is extremely important.
Using an incorrect design risks throwing off the balance and resulting in an unnatural finish.
Therefore, it is necessary to carefully verify the design during preoperative simulation.
Understand beforehand that sutures must be removed one week after surgery, and that side effects such as swelling, bruising, and nasal congestion may occur.
Characteristics of Nasal Wing Lift Surgery|Lifts the entire thickened alar base for a sharper appearance

The nasal alae refer to the fleshy sides of the nose, indicating the fleshy protrusions on either side of the nose.
Nasal Wing Lift Surgery
Nasal alar lift surgery is a procedure that lifts the nostrils while also considering their relationship with the nasal tip and columella.
【Benefits】
The advantage is that it lifts drooping nostrils, creating a more refined and defined nose.
This is suitable for those who have “drooping nostrils” or “want to make their nostrils smaller.”
【Important Notes and Risks】
Since this procedure lifts the nasal wings, it cannot significantly alter the size of the nostrils themselves. Therefore, it may not be suitable for individuals seeking a reduction in size.
【Period Until Suture Removal】
Note that alar base reduction surgery involves making an incision on the skin surface. While sutures are placed along the crease of the nostrils to minimize visibility, suture removal is required one week after surgery.
【In-Depth Comparison】5 Key Differences Between Nasal Alar Rim Elevation and Nasal Alar Elevation
Nasal alar rim lift and alar base lift are both procedures to lift the nostrils, but they differ significantly in the areas they target and the concerns they can address.
| Procedure Name | Nostril Rim Lift / Nostril Lift |
|---|---|
| Target Area | Nostril Rim Lift: Edge of the nostrils Nostril Lift: Contour of the nostrils |
| Suitable Concerns | Nostril Rim Lift: Thickness of the nostril rim / Sagging nostrils Nostril Lift: Thickness of the alar base / Overall sagging of the alar base |
| Final Impression | Both procedures create an elegant, refined nose |
| Visibility of Scars | Nostril Rim Lift: Scars form along the edge of the nostrils but are less noticeable . Alar Lift: Scars form along the edge of the alar base. |
| Combination with Other Procedures | Both are possible |
Let’s take a closer look at the differences between the two treatments.
Target area
The two procedures target different areas. Nasal alar rim lift primarily addresses the edges of the nostrils. The sagging tissue is excised and sutured.
On the other hand, alar base reduction involves making an incision along the contour of the nostrils. After removing excess tissue, the edges are sutured to align with the nostril margins, aiming to lift the nostrils themselves.
Nasal Concerns That Can Be Improved
The two procedures address different concerns. Nasal alar rim lift is suitable for those who wish to improve the thickness of the rim around the nostrils or who feel their nostrils appear droopy.
In other words, this procedure is ideal for addressing issues related to the line of the nostrils.
In contrast, alar base reduction is ideal for those who wish to refine the appearance of heavy-looking nostrils.
If you are dissatisfied with the entire alar area, alar base reduction may be suitable. We may also recommend alar base reduction (nose wing reduction) at the same time.
The finished look achieved through the treatment
Nostril rim lift and alar lift procedures produce different final impressions. Nostril rim lift refines the nostril shape to achieve an elegant and refined nose.
In contrast, alar base reduction surgery can achieve a more refined appearance of the entire alar region, allowing you to aim for a cleaner, more defined look.
If you’re unsure which treatment is best suited to your concerns, please schedule a consultation first.
Choose the surgical procedure that best suits your nasal condition, concerns, and desired outcome.
The “visibility” of scars
Both procedures leave scars, but because they occur in different locations, there is a difference in how noticeable they are.
Nasal alar rim lift surgery involves incisions inside the nostrils and a portion of the ear, but these scars are typically inconspicuous.
On the other hand, alar base reduction surgery involves making an incision on the skin surface, resulting in a visible scar.
However, since the sutures are made with extremely fine thread along the edge of the nostrils, the result should be relatively inconspicuous.
Can it be combined with other treatments?
Nostril rim lift and alar base reduction can sometimes be performed simultaneously with procedures such as alar base reduction or nasal tip reshaping.
Combining treatment methods with different characteristics can bring you closer to your ideal nose.
Please consult with us during your consultation to determine which treatment is best suited for you.
Key Considerations for Choosing Between Nasal Alar Rim Elevation and Nasal Alar Elevation Surgery Based on Your Concerns

Many people who want to change the appearance of their nose are unsure whether alar base reduction or alar base elevation is the right procedure for them.
Here, we introduce key points for choosing a nose procedure. Check the differences between alar rim lift and alar base lift to find the procedure that best suits your concerns.
If drooping nostrils are your concern, consider “nostril rim lift surgery.”
Individuals who meet the following criteria are suitable candidates for alar rim elevation surgery.
- Those with irregularly shaped nostrils
- Those with thick, drooping nostril edges
- For those who want a natural curve along the edge of their nostrils
A nostril rim lift involves making a small incision along the edge of the nostril and suturing it upward, which can lift drooping nostrils and create a more refined appearance.
Additionally, some individuals experience a drooping nasal alar rim, causing the entire nose to appear heavier and emphasizing the nostrils. This procedure can help create a more natural curve to the nostrils, resulting in a cleaner appearance when viewed from the front.
For more information about LIVIN CLINIC’s Nasal Wing Lift, please see here.
▷Details on nasal tip elevation can be found here.
To soften the heavy appearance of the entire nasal wings, consider “nasal wing lift surgery.”
Nasal wing lift surgery is suitable for individuals who meet the following criteria.
- For those concerned about drooping nostrils
- For those who wish to improve the balance between the tip and bridge of the nose
- For those seeking a naturally refined nose
Nostril lift surgery not only adjusts the size of the nostrils but also allows for three-dimensional design of the entire nose. Its appeal lies in the ability to lift by just a few millimeters, minimizing the risk of an unnatural appearance.
For those with flared nostrils or a long philtrum, this procedure also offers the benefit of improving overall facial balance.
▷Details on alar base elevation can be found here.
If you’re also concerned about the width of your nostrils, combining it with “nostril reduction surgery” is an option.
For those who also wish to address flared nostrils, combining this with alar reduction surgery can help achieve a more ideal silhouette.
Nasal alar reduction surgery involves making an incision on the side of the nostrils, either inward or outward, to narrow their width. This procedure can help improve the overall balance of the nose.
This procedure reduces the volume of the alar base, which is difficult to achieve with alar base reduction or alar base lift surgery.
This treatment aims to reduce the width of the nostrils, creating a natural, understated nasal line that looks harmonious from both the front and profile.
However, symptoms such as swelling and pain may persist after surgery.
When combining procedures, discuss with your doctor points such as “which areas you wish to alter and to what extent” and “whether you prioritize a natural-looking result.”
▷Details on alar reduction (nose wing reduction) can be found here.
Frequently Asked Questions About Nasal Wing Lift and Nasal Wing Augmentation
Finally, we have summarized the questions regarding the differences between alar rim elevation and alar base elevation.
How much pain is there during surgery?
You will feel little to no pain during the procedure. Both alar rim lift and alar base lift procedures utilize local anesthesia and nitrous oxide anesthesia during the operation.
If I'm not satisfied, can you make revisions?
Revisions are possible, but note that it is not possible to restore the original state. Additionally, symptoms such as swelling and bruising are particularly noticeable during the first week after surgery, so it is not uncommon to feel that the appearance differs from your expectations. If you are considering a revision for alar base reduction or alar base reduction, it is advisable to consult your surgeon once the downtime has subsided.
How long does the effect last?
Generally, the effects are semi-permanent. Both alar rim lift and alar base lift procedures involve incisions made with a scalpel and require minimal maintenance.
On the flip side, since the appearance of the nose is determined in a single procedure, the skill of the surgeon is crucial. For alar rim elevation or alar base reduction procedures, be sure to entrust them to a surgeon with extensive experience and knowledge.
Understand the difference between alar rim lift and alar base lift to choose the procedure that best suits your concerns.
Nasal alar rim lift and alar base lift differ in the areas they target and the results they achieve.
Therefore, the type of person who would benefit varies depending on their specific concerns, so it’s important to make a careful decision.
To avoid any regrets, be sure to check out this article to learn the differences between alar base reduction and alar base reduction surgery, and choose the procedure that best suits your concerns.
Combining different treatment methods is also possible, so first consult with your doctor during a counseling session.
Nasal Wing Lift: Procedure Details, Risks, and Side Effects
【Procedure Details】Nasal Alar
Rim Elevation 【Estimated
Duration and Number of Sessions】Typically 1 session ※May
vary depending on individual condition.
【Procedure
Time】Approximately 1 hour
【Cost】¥330,000 ※This procedure is self-pay (not covered by insurance). 【Face
Washing and
Bathing】No nasal cast is applied. Face washing is possible starting the next day.
【Makeup】 Sutures are removed after one week
. Makeup may be applied starting the day after suture removal.
【Risks & Side Effects (Possible Occurrences)
】Infection, wound separation, impaired blood flow, swelling, bruising, nosebleeds, nasal congestion, columellar scarring, decreased sensation in the nasal tip or ears, nasal tilt, failure to achieve nasal tip elevation, asymmetry in nasal shape, hardening of the nasal tip, sensation of a rounded nasal tip.
Nasal Wing Lift Procedure Details, Risks, and Side Effects
【Procedure】Nasal
Wing
Lift【Estimated
Duration and Number of Sessions】Typically 1 session ※May vary depending on individual condition.
【Procedure
Time】Approximately
1 hour【Cost】¥330,000 ※This procedure is self-pay (not covered by insurance).
【Face Washing, Bathing】No nasal
cast is applied. Face washing is possible starting the next day.
【Makeup】 Sutures are removed after one week
. Makeup may be applied starting the day after suture removal.
【Risks & Side Effects (Possible Occurrences)
】Infection, wound separation, impaired blood flow, swelling, bruising, nosebleeds, nasal congestion, scarring on the columella, decreased sensation in the nasal tip or ears, nasal tilt, inability to elevate the nasal tip, asymmetry in nasal shape, hardening of the nasal tip, sensation of a rounded nasal tip.
Nostril Reduction (Alar Reduction): Procedure Details, Risks, and Side Effects
【Procedure Details】Nostril
Reduction (Nasal Wing Reduction) 【Estimated Duration
and Number of
Sessions】Typically 1 session ※May
vary depending on individual condition.
【Procedure Time】Approximately
1 hour 【Cost】¥330,000~ ※This procedure is self-pay (not covered by insurance).
【Face Washing, Bathing】No nasal
cast is applied. Face washing is possible starting the next day.
【Makeup】 Sutures are removed after one week
. Makeup may be applied starting the day after suture removal.
【Risks & Side Effects (Possible Occurrences)
】Infection, wound dehiscence, impaired blood flow, swelling, bruising, nosebleeds, nasal congestion, scarring on the columella, decreased sensation in the nasal tip or ears, nasal tilt, inability to elevate the nasal tip, asymmetry in nasal shape, hardening of the nasal tip, sensation of a rounded nasal tip.
▼Recommended articles for you after reading this
For those who want a straighter nose bridge. The Complete Guide to Achieving Your Ideal Profile
Nostril Reduction: Solve Your Nose Concerns. Detailed Explanation from Procedure Types to Downtime
Supervisor of this article
Director Yoshiaki Shingyochi
SHINGYOCHI Yoshiaki
Director of LIVIN CLINIC and a specialist in plastic and cosmetic surgery. After graduating from Juntendo University School of Medicine, he gained extensive experience as a department head and vice director before assuming his current position in 2025. He specializes in nose and eye area procedures, breast augmentation, and other surgeries, earning the trust of patients both domestically and internationally. Guided by the belief of “maximizing each patient's unique beauty,” he provides high-quality treatment through advanced techniques and meticulous procedures. Director of LIVIN CLINIC, Board-Certified Plastic Surgeon, Board-Certified Aesthetic Surgeon (JSAPS), Doctor of Medical Science, Adjunct Assistant Professor, Department of Plastic Surgery, Juntendo University.
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