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Related Experiment Video

Updated: Jun 26, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Nasal base reduction: a treatment algorithm including alar release with medialization.

Ronald P Gruber1, M Brandon Freeman, Charles Hsu

  • 1Stanford, San Francisco, and Davis, Calif.; and Providence, R.I. From the Divisions of Plastic and Reconstructive Surgery of Stanford University, University of California, San Francisco, Brown University, and University of California, Davis.

Plastic and Reconstructive Surgery
|February 3, 2009
PubMed
Summary
This summary is machine-generated.

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A novel algorithm for broad nasal base reduction using alar release effectively corrects nasal width without distortion. This technique minimizes recurrence and complications associated with traditional excisional methods for nasal base surgery.

Area of Science:

  • Plastic Surgery
  • Rhinoplasty Techniques
  • Facial Aesthetic Surgery

Background:

  • Broad nasal base is challenging to correct with excisional procedures alone, risking nostril distortion or stenosis.
  • Recurrence is common with standard alar mobilization and suture approximation.
  • A new algorithm for nasal base reduction was developed to address these limitations.

Purpose of the Study:

  • To present a new classification and algorithm for broad nasal base reduction.
  • To evaluate the efficacy of a tension-free alar release technique with medialization for nasal base reduction.

Main Methods:

  • Utilized a new classification including general nasal base enlargement and vertically oriented alar axis.
  • Performed alar release involving soft tissues, pyriform ligament, and periosteum.

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  • Employed interalar sutures for medialization; evaluated 12 patients.

    • Main Results:

    • Achieved successful nasal base reduction without distortion in all patients.
    • Three patients required additional release of horizontal pyriform rim tissues.
    • Observed two partial recurrences and one partial airway obstruction after follow-up.

    Conclusions:

    • Resection alone is insufficient for certain broad nasal bases (e.g., thick skin, vertical alar axis).
    • Tension-free alar release with suture fixation is an effective method for nasal base reduction.
    • This approach is expected to reduce the incidence of recurrence in nasal base surgery.