The Safety and Outcomes of Simultaneous Open Rhinoplasty, Alar Reduction, and Upper Lip-Lift through One Surgery

Area of Science:

• Plastic Surgery
• Facial Plastic Surgery
• Otolaryngology

Background:

• The combination of Alar reduction, Lip lift, and Open rhinoplasty Surgery (ALOS) has not been previously studied.
• Evaluating the safety and outcomes of this combined procedure is crucial.

Purpose of the Study:

• To assess the safety and outcomes of performing simultaneous Alar reduction, Lip lift, and Open rhinoplasty Surgery (ALOS).

Main Methods:

• Retrospective review of 51 cases from 2018-2022.
• Procedures included alar wedge resection, bullhorn lip lift, and primary open rhinoplasty.
• Follow-up ranged from 4 months to 2 years, with specific post-operative checks.

Main Results:

• No infections or vascular complications (necrosis, ischemia) were observed.
• Columellar and alar incisions resulted in nearly invisible scarring.
• Lip lift scars were optimal in most cases, with minor issues in a few patients.

Conclusions:

• Simultaneous ALOS, lip lift, and alar reduction is safe in primary rhinoplasty cases.
• The combination procedure does not negatively impact vascularity or scarring.
• This approach is a viable option for patients without prior oronasal trauma.