If he's as fast as he claims to be, the swelling will not have set in yet by the time he starts on the nose. Anyway I would favour him for the following reasons:
* piezoelectric tools may lead to less nerve damage
* his age
* surgeons who can do CCW with posterior down grafting (which apparently Alfaro does regularly) can do any kind of plan. Even if you don't need CCW (and you don't) - it's a mark of a skilled surgeon.
What I find questionable:
* I'm not a fan of surgery-first. Some of his before and afters have obviously misaligned mid-lines.
* Clinics with massive volumes like his and a few big name American ones - you may just be buying the brand and not the surgeon. (If you have a friend in dental school, coax him/her to come with you and observe the surgery "for educational reasons". I'm sure he will be allowed to. This way you'll be certain that the big name surgeon will be the one operating on you.)