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02

Nose treatment

Alarplasty

Wide nostril and alar wing surgery that combines alar trim, alar lift, and nostril base resection for a more balanced nasal base.

Promotional Rate₱40,000Promotional Rate for cash and online bank transfer payment only. Regular Rate and applicable charges may be applied to other payment method.

What to Expect Before You Decide

What treatment aims to address

Wide nostril and alar wing surgery that combines alar trim, alar lift, and nostril base resection for a more balanced nasal base.

What to keep in mind

The outcome depends on your anatomy, health and healing. Discuss the expected change, limitations, alternatives and the option of no treatment with Dr. Bien before deciding.

Price, inclusions and additional costs → · Your first visit → · Plan work, travel and follow-up →

Follow-up and Return-to-Work Planning

These are usual clinic estimates, not guaranteed recovery deadlines. Your procedure-specific instructions, healing and individual clearance take priority.

Follow-up visits

For most procedures, the usual first follow-up is around 7 days. Confirm your individual appointment before leaving the clinic.

Follow-ups are included. Further visits are arranged according to your recovery.

Stitch removal

Stitches are usually removed around day 7 when applicable. Follow the date given by your surgeon.

Desk work

The usual estimate is around 2–3 days, depending on your procedure, comfort, work duties and your surgeon’s advice.

Physical work

The usual estimate is around 2–4 weeks. Confirm clearance for the lifting, bending and exertion involved in your job.

Exercise, driving and flights

Confirm these separately with your surgeon. Being ready for desk work does not mean you are cleared for exercise, driving or travel.

Companion

A companion is required for a sedated procedure. Arrange this before your treatment date.

Ask the clinic about your recovery plan →

Plan your treatment

Pricing & inclusions

Promotional Rate₱40,000

Promotional Rate for cash and online bank transfer payment only. Regular Rate and applicable charges may be applied to other payment method.

Package inclusions

Follow-up visits are included. Your visit schedule is confirmed as part of your individual care plan.

  • Surgeon’s professional fee
  • Operating room and nursing team
  • Standard surgical tools and materials
  • Basic postoperative medicines
  • Aftercare supplies

Possible additional costs

The published price applies to the standard local-anesthesia setup. An optional IV sedation upgrade is available for an additional ₱20,000 and requires laboratory tests. Final suitability, inclusions, and pricing are confirmed after assessment.

Final pricing and the treatment plan are confirmed after an in-person assessment.

AT A GLANCE

Procedure Overview

AnesthesiaLocal anesthesia with mild oral sedation
Procedure timeApproximately 1–2 hours
Typical discomfortOften described as minimal; individual experience varies
Stitch removalUsually around Day 7
Social downtimeApproximately 1–2 weeks
Full healingApproximately 4–6 months

Real patient outcomes

Alarplasty Results

Browse every applicable before-and-after image published by BienPoMD for this procedure.

16 result images
Swipe Or Scroll To Explore
One week transformation after Alarplasty Trifecta.
Before and immediately after Alarplasty Trifecta, with sutures visible. This is an early postoperative view, not a healed result.
One week transformation after Alarplasty Trifecta.
Improved asymmetric alar — comparison immediately after Alarplasty Trifecta.
One week transformation after Alarplasty Trifecta.
Intraoperative comparison after Alarplasty Trifecta.
Alarplasty Trifecta one-week transformation.
One week transformation after Alarplasty Trifecta — male patient.
Alarplasty Trifecta — intraoperative comparison.
One-week transformation after Alarplasty Trifecta.
One-week transformation after Alarplasty Trifecta.
Intraoperative view comparing nostril base reduction, alar trim, and lift during Alarplasty Trifecta
Front view · Tipplasty with Alarplasty One-week transformation after Tipplasty using irradiated rib and ear cartilage with Alarplasty. This photograph shows a combined-procedure result.
Left oblique view · Tipplasty with Alarplasty One-week transformation after Tipplasty using irradiated rib and ear cartilage with Alarplasty. This photograph shows a combined-procedure result.
Right oblique view · Tipplasty with Alarplasty One-week transformation after Tipplasty using irradiated rib and ear cartilage with Alarplasty. This photograph shows a combined-procedure result.
Basal view · Tipplasty with Alarplasty Immediate postoperative comparison after Tipplasty using irradiated rib and ear cartilage with Alarplasty. This photograph shows a combined-procedure result.

Individual results vary. Lighting, angle, timing, anatomy, and healing can differ between cases. Images are educational and do not promise or guarantee a specific outcome.

What Is Alarplasty Trifecta?

Alarplasty Trifecta is BienPoMD’s combined approach for refining wide nostrils, lifting overhanging alar wings, and narrowing a flared nasal base—without changing the nasal bridge.

01

Alar Trim

Reduces excess width along the nostril rim.

02

Alar Lift

Elevates overhanging or drooping alar rims.

03

Nostril Base Resection

Narrows flare at the base of the nostrils.

Who May Be a Candidate?

This procedure may be considered for patients with:

  • Alar overhang—makapal o nakalaylay ang gilid ng ilong
  • A wide nostril base—malapad ang base ng butas ng ilong
  • Visible nostril flaring when smiling or talking

A consultation is still necessary. Nostril shape, skin thickness, natural asymmetry, scarring tendency, breathing, and overall facial proportions must be assessed before surgery is recommended.

Alarplasty changes the nostril rim and base; it does not raise a low nasal bridge. The aim is balance, not overcorrection. No specific result can be guaranteed.
Medically Reviewed By Bien Po, M.D.
Last Reviewed: July 26, 2026
Anatomy-led planning

Three causes of a wide nasal base

A wide-looking nasal base may come from flared alae, a broad sill, a wide nostril floor, or a combination. The Alarplasty Trifecta approach is tailored to the actual cause so narrowing does not create pinched nostrils or an unnatural crease.

Patient experiences

What Patients Say.

View all reviews

Alarplasty Trifecta

Walang filter ’yan, Doc. Super thank you talaga sa transformation.

Ten-month patient update

View original saved review Alarplasty Trifecta patient review — no-filter look after surgery

Alarplasty Trifecta

Thank you, Doc. Wala pang implant ’yan pero ’yung confidence ko po, grabe.

Patient message shared by BienPoMD

View original saved review Alarplasty Trifecta patient review about improved confidence

Alarplasty Trifecta

One-month update: it’s healing so well. Wala na halos swelling, tapos kita ko na ’yung shape ng nose.

One-month patient update

View original saved review One-month Alarplasty Trifecta healing update from a BienPoMD patient

Experiences and results vary.

Frequently asked questions

Alarplasty Trifecta FAQs

Will I be asleep during surgery?

Most patients remain awake under local anesthesia with oral sedation. IV sedation is optional and requires laboratory tests.

When can I return to work or school?

Light social activities may resume in about 1–2 weeks. Swelling is usually more noticeable during the first few days, and healing varies.

Do I need medical clearance or laboratory tests?

These may be required when you have an existing medical condition, take certain medicines, or choose IV sedation. The clinic will advise you after assessment.

Will there be visible scars?

Incisions are generally placed along natural nostril creases. Scars may fade over time, but every patient heals differently and no scar can be promised to become invisible.

Is it painful?

The procedure is performed under local anesthesia with oral sedation. Many patients describe discomfort as minimal, but pain experience varies.

Can it be combined with other nose procedures?

Yes, when appropriate. It may be planned with tip refinement, bridge enhancement, or revision surgery after a full nasal assessment.

Your Best Next Step Is a Conversation.

Meet Dr. Bien in person, discuss what concerns you, and receive an honest assessment of what may—or may not—be appropriate.

Medical context and authorship

Plan with the surgeon who explains the details.

Review Dr. Bien Po’s training, credentials, professional memberships, lectures, and surgical education work.

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