The nasal base is an important aspect of the nose with a complex anatomic architecture comprising a combination of cartilages, skin, connective tissues, and ligaments. Recent studies show that all nasal base deformities cannot be corrected by simple excision and suturing techniques. Alar release and medialization would be effective in some of these deformities. This article presents an overview of conventional concepts of alar base surgeries, which have remained unchanged over many years. Indications and limitations of each technique are discussed, followed by a more detailed description of alar release and medialization.