What Is An Alar Flare?

Get Your Dermal Filler Consultation with Dr. Laura Geige Today

Anatomy of an Alar Flare

Cartilage Structure

An alar flare refers to a specific widening or “flapping” appearance of the nasal alae, which are the lateral portions of the nostrils.

This flaring can be caused by various factors, including genetics, cartilage structure, and trauma.

Understanding the anatomy of the alar flare involves examining the structure of the nasal cartilage, specifically the lateral crura and the alar cartilages.

Here’s a breakdown of the key cartilage elements involved:

1. Lateral Crura: These are two curved pieces of cartilage that extend from the upper portion of the septum, which is the partition between the nostrils. The lateral crura form the sides and upper boundaries of the nasal vestibule (the opening of the nose).

2. Alar Cartilages: These smaller cartilaginous structures connect to the lateral crura and are responsible for shaping the tip of each nostril.

The alar cartilage’s shape, strength, and flexibility contribute significantly to the appearance of the nasal alae.

In cases of alar flare:

• The alar cartilages may be excessively strong or stiff, causing them to push outward.

• There might be a weakening or breakdown in the connection between the lateral crura and alar cartilages.

• The curvature of the alar cartilages could contribute to an outward flare.

It’s important to note that alar flare can vary widely in severity and appearance. Some individuals may have a subtle widening, while others may exhibit a more pronounced flaring.

Muscle Attachments

An alar flare is a condition where the nostrils widen at their base, resembling an outward flaring.

This occurs due to the action of certain muscles surrounding the nose, particularly those responsible for dilating the nostrils (nasal dilation).

The primary muscle involved in alar flaring is the

* **Dilator Naris Muscle:** This paired muscle consists of two components:

1. Levator labii superioris alaeque nasi muscle: Originates on the maxillary bone, inferiorly near the nostril opening, and inserts into the tip of the nose and upper lip.
2. Pars muscularis of the cartilago pyramidalis: Located within the triangular cartilage that forms the lower part of the nasal septum. It attaches to the medial crus (innermost part) of the alar cartilage.

When these muscles contract, they pull the alae nasi (the outer side walls of the nostrils) outwards, causing the flaring effect.

Other muscles that may contribute to alar flaring include:

* **Depressor Septi Nasi:** This muscle arises from the anterior part of the septum and inserts into the lower cartilages of the nose. It can pull the nasal tip downwards, potentially contributing to a more noticeable flare.

The degree of alar flaring can vary greatly among individuals and is influenced by factors like:

* **Genetics:** Individual skeletal structure and muscle attachments play a role in determining the shape of the nose.
* **Facial Expression:** Muscles involved in expressions, such as smiling or frowning, can also influence nostril position.

Certain medical conditions may also contribute to alar flaring, so consulting with a healthcare professional is recommended if you have concerns.

Nerves & Blood Supply

An alar flare is a medical condition characterized by the widening or eversion of the nostrils, particularly the alar wings (the cartilaginous structures that form the lateral sides of the nostrils). It can present as either a mild widening or a dramatic protrusion of the nostril openings.

The anatomy of the nasal alar region is complex, involving several key structures:

**Cartilage:** The primary structural component of the alar wings is comprised of specialized flexible cartilage. This cartilage provides support and shape to the nostrils while allowing for movement during breathing and facial expressions.

**Skin:** The skin covering the alar region is thin and delicate, providing sensory input to the nose and contributing to its overall appearance.

**Muscle:** Several muscles are associated with the nose and contribute to nostril movement and airflow regulation. The chief muscle responsible for flaring the nostrils during breathing or expression is the dilator naris muscle.

Nerves:

The alar region is richly innervated by several nerves, providing sensation to the skin and influencing muscle function.

• **Olfactory Nerve (CN I):

Responsible for the sense of smell, it innervates receptors within the nasal cavity but does not directly affect nostril shape.

• **Trigeminal Nerve (CN V):

This nerve has three branches that contribute to sensation in the face and nose. The ophthalmic branch provides sensation to the forehead and upper eyelids, while the maxillary branch innervates the cheek, upper lip, and lower eyelid. The mandibular branch is responsible for sensation on the chin and jaw.

• **Facial Nerve (CN VII):

This nerve controls facial expressions, including those that affect the nostrils. Its branches innervate muscles involved in dilating or constricting the nostrils.

Blood Supply:

The alar region receives a robust blood supply from several arteries, ensuring adequate oxygenation and nutrient delivery to the tissues. The primary sources of blood flow are:

• **External Carotid Artery:

This major artery branches into the facial artery, which supplies blood to the nose, face, and scalp.

• **Internal Facial Artery:

A branch of the external carotid artery that contributes to nasal blood flow.

Causes of Alar Flare

Genetic Predisposition

An alar flare refers to a widening or outward curving of the nostrils, particularly at the tip known as the ala nasi.

While the exact causes of alar flare are complex and multifactorial, several factors contribute to its development:

1. **Genetics:**
Arrange a Dermal Filler Consultation at It’s Me and You Clinic with Dr. Laura Geige

• Family history plays a significant role. If parents or close relatives have prominent alar flares, the likelihood of inheriting this trait is increased.

2.

• Specific genes involved in cartilage and collagen production can influence nostril shape and contribute to alar flare.

2. **Skeletal Structure:**

• Variations in the size and shape of the nasal bones, cartilages (especially the alar cartilage), and other supporting structures can lead to an outward projection of the nostrils.

3.

• Nasal septum deviations or crookedness can also affect nostril symmetry and potentially contribute to alar flare on one side.

3. **Soft Tissue Thickness:**

• The thickness of the skin and tissues surrounding the nostrils can influence their appearance. Thicker tissues may make the alar flares appear more prominent.

4. Age-Related Changes:

• As we age, cartilage naturally loses some of its firmness and elasticity. This can cause nostril shapes to change over time, potentially leading to a more pronounced alar flare.

5. **Environmental Factors:**

• Exposure to sunlight or other environmental stressors may contribute to collagen breakdown in the skin and cartilage, potentially affecting nostril shape.

It’s important to note that alar flare is a common anatomical variation. It’s considered a normal feature in many individuals and does not necessarily indicate any underlying health issues.

Hormonal Influences

An alar flare refers to the outward expansion of the *alae nasi*, the two wing-like cartilages that form the sides of your nose. This condition can cause the nostrils to appear wider or more bulbous, sometimes leading to concerns about facial aesthetics.

While genetics play a role in nasal shape and structure, several factors can contribute to alar flare:

Hormonal Influences:** The hormones responsible for growth and development during puberty—especially *androgens* like testosterone—can significantly impact nasal cartilage. Increased androgen levels may stimulate the growth of the alae nasi, leading to a more pronounced flare.

This hormonal influence often manifests during adolescence as boys experience their growth spurts. However, women can also experience alar flare due to hormonal fluctuations associated with pregnancy or menopause.

Nasal Breathing Patterns:**

Individuals who habitually breathe through their mouth may put more stress on the nasal cartilages. This continuous strain could contribute to the widening of the nostrils over time.

Aging:** As we age, the structural support in our face naturally weakens, including the cartilage in the nose. This can lead to a gradual descent of the alae nasi, causing an appearance of alar flare.

Trauma or Injury:** A broken nose or other facial trauma can also alter the shape and position of the alar cartilages, resulting in alar flare.

It’s important to note that alar flare is a common occurrence and often not a cause for concern. However, if it significantly affects one’s self-esteem or confidence, consult with a qualified facial plastic surgeon. They can assess the situation and discuss potential treatment options, such as rhinoplasty.

Environmental Factors

An alar flare refers to a widening or drooping of the nostrils, often giving them a “flaring” appearance.

Several factors can contribute to this aesthetic change:

1. Genetics:** Family history plays a significant role. Individuals with a genetic predisposition may be more susceptible to alar flaring.

2. Age:** As we age, the skin and tissues of the nose naturally lose elasticity, leading to potential sagging and widening of the nostrils.

3. Sun Exposure:** Excessive sun exposure can damage collagen and elastin fibers in the skin, contributing to laxity and changes in the nasal structure.

4. Facial Structure: The shape and size of the underlying bone and cartilage in the nose influence the appearance of the alar.

5. Trauma or Injury: Previous nasal injuries can sometimes affect the alignment and support structures of the nostrils, leading to flaring.

Environmental factors that may exacerbate alar flaring include:

* **Smoking:** Smoking damages blood vessels and collagen, contributing to tissue deterioration and skin laxity.
* **Pollution:** Exposure to air pollutants can irritate and inflame the skin, potentially affecting its elasticity.
* **Dehydration:** Insufficient water intake can lead to dry skin, making it more prone to sagging and wrinkling.

It’s important to note that alar flaring is often a normal part of aging or variations in individual anatomy. However, if you are concerned about the appearance of your nostrils, consult with a qualified healthcare professional.

Managing Alar Flare

Surgical Interventions

An alar flare refers to the outward flaring of the nostrils, also known as the alae nasi.

This condition can occur due to a variety of factors, including genetics, trauma, aging, or nasal cartilage deformities.

Individuals with alar flares may experience aesthetic concerns about their nasal appearance.

Managing alar flare often involves a combination of approaches, depending on the underlying cause and the patient’s individual needs.

Non-surgical options include:

• **Lifestyle Modifications:** Maintaining a healthy weight, avoiding smoking, and protecting the nose from injuries can help minimize alar flaring.

• Medications: In some cases, medications such as nasal steroids may be prescribed to reduce inflammation and swelling in the nasal area.

• **Dermal Fillers:** Injectable dermal fillers can temporarily plump up the nostrils, creating a more balanced appearance. This is often a good option for individuals with mild alar flaring.

Surgical interventions are typically considered for those who seek a more permanent solution or have significant alar flaring.

The most common surgical procedure for correcting alar flare is rhinoplasty, also known as a nose job.

During rhinoplasty, the surgeon will make incisions inside the nostrils or across the columella (the strip of skin between the nostrils). This allows access to the nasal cartilage and bone, which can be reshaped and repositioned to narrow the nostrils.

Other surgical options include:

• ** Alar Base Reduction:** A smaller incision is made at the base of the nostrils to remove excess cartilage and soft tissue, narrowing the nostril opening.

• Tip Plasty:** This procedure involves adjusting the shape and position of the nasal tip, which can indirectly reduce alar flare.

It’s important to consult with a qualified plastic surgeon to determine the most appropriate treatment approach for managing alar flare. The surgeon will assess your individual needs, medical history, and desired outcome.

They can also discuss the potential risks and benefits of each option to help you make an informed decision.

Non-surgical Options

An alar flare refers to the widening or outward turning of the nostrils at their base, known as the alar wings. This condition can occur due to a variety of reasons, including genetics, aging, nasal injuries, and certain medical conditions.

While surgery is often considered the primary solution for correcting alar flare, non-surgical options have gained popularity due to their minimally invasive nature and shorter recovery times.

Here are some non-surgical approaches to managing alar flare:

• Dermal Fillers: Hyaluronic acid fillers can be strategically injected into the base of the nostrils to add volume and lift, helping to reduce the outward appearance of the alar wings. This is a temporary solution, typically lasting 6-18 months.

Book a Consultation for Dermal Fillers with Dr. Laura Geige at It’s Me and You Clinic

• Thread Lift: This procedure involves inserting dissolvable threads under the skin around the nostrils to provide support and lift, similar to a mini face lift. It can offer a more subtle and longer-lasting correction compared to fillers, lasting up to 18 months.

• Radiofrequency (RF) Microneedling: This treatment utilizes tiny needles that deliver radiofrequency energy into the skin, stimulating collagen production and tightening the tissue. It can improve skin elasticity around the nostrils, potentially reducing alar flare over time.

• Topical Creams and Serums: Products containing retinol or peptides may help to increase collagen production and improve skin tone, which could have a minimal effect on mild alar flare.

It’s essential to consult with a board-certified plastic surgeon or dermatologist experienced in facial aesthetics. They can assess your individual case, discuss your desired outcome, and recommend the most suitable non-surgical option for managing your alar flare.

Remember that these treatments are not always guaranteed to achieve perfect symmetry and results may vary depending on individual factors like skin elasticity, severity of the flare, and lifestyle choices.

The Fine Nanny Andrea McGinty Art Couture Lust Tattoo Culture Magazine Crimson Hill