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The long-term effects of alar base reduction
Garrett H Bennett1, Alexis Lessow, Phil Song
1Department of Otolaryngology, Division of Facial Plastic Surgery, New York University School of Medicine, New York, NY 10016, USA. garrettbennett@yahoo.com
Archives of Facial Plastic Surgery
|March 23, 2005
Summary
Alar base reduction in rhinoplasty significantly altered vertical flare and nostril height. Long-term analysis showed no significant changes in base width, flare width, or base height, with no notching observed.
Area of Science:
- Plastic Surgery
- Facial Plastic Surgery
- Rhinoplasty Outcomes
Background:
- Alar base reduction is a common rhinoplasty technique.
- Quantifying long-term outcomes of alar base reduction is important for patient satisfaction and surgical planning.
Purpose of the Study:
- To statistically analyze the long-term results of alar base reduction after rhinoplasty.
- To quantify changes in nasal dimensions following alar base reduction.
Main Methods:
- A series of 100 rhinoplasty cases were reviewed, with 19 requiring alar base reduction.
- Preoperative and postoperative photographs were used to measure base width, flare width, base height, nostril height, and vertical flare.
- Follow-up averaged 11 months, ranging from 2 months to 3 years.
Main Results:
- Significant changes were observed in vertical flare (P<.05) and nostril height (P<.05).
- No significant changes were found in base width (P=.92), flare width (P=.41), or base height (P=.22).
- No nasal sill notching was reported in any patient.
Conclusions:
- Alar base reduction primarily impacts vertical flare and nostril height.
- The study provides extensive data on the postoperative effects of alar base reduction.
- While ideal study conditions (no concomitant procedures) are impractical, this research offers valuable insights into alar reduction outcomes.