This is a 22 year old young woman who had concerns about the size of her nose. Specifically, she was interested in narrowing the base of her nose – where the nose meets the face – and decreasing the flare of her nostrils. She underwent an alar base excision (Weir excision) to narrow the base of the nose and decrease her alar flare. This was done in the office under local anesthesia. She did very well after surgery with minimal bruising and swelling. At 2 months after surgery, her nose has settled nicely with maintenance of her alar narrowing, well-hidden scars, and a softening of her alar flare.