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Related Experiment Video

Updated: Jun 9, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

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

Published on: June 20, 2018

Intermediate alar resection: Precision technique for nasal tip aesthetics.

Goran Latif Omer1,2, Sureyya Şeneldir3, Sahand Soran Ali4

  • 1Department of Clinical Sciences, College of Medicine, University of Sulaimani, Sulaymaniyah, KRI, Iraq.

JPRAS Open
|June 8, 2026
PubMed
Summary

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Techniques for the Persistently Crooked Nose.

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The Intermediate Alar Resection (IAR) technique refines the nasal tip, showing significant improvements in angles and width. This safe and effective rhinoplasty method leads to high patient satisfaction.

Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery

Background:

  • Rhinoplasty aims to improve nasal aesthetics and function.
  • Refining the nasal tip is a key challenge in rhinoplasty surgery.

Purpose of the Study:

  • To evaluate the effectiveness of the Intermediate Alar Resection (IAR) technique for nasal tip refinement.
  • To assess objective and subjective outcomes of the IAR technique in primary rhinoplasty.

Main Methods:

  • Retrospective cohort study of 52 patients undergoing primary rhinoplasty with IAR.
  • Analysis of standardized preoperative and postoperative photographs for key nasal parameters.
  • Patient satisfaction assessed using the Rhinoplasty Outcome Evaluation (ROE) questionnaire.

Main Results:

Keywords:
Boxy nasal tipIntermediate alar resectionIntermediate crusLower lateral cartilageNasal tip projectionNasal tip rotationNasal tip surgeryPatient-reported outcomesRhinoplastyTip refinement

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Last Updated: Jun 9, 2026

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  • Significant improvements observed in nasolabial and nasofacial angles.
  • Average reduction in tip width by 12% and nasal projection by 7.5%.
  • High patient satisfaction with a median ROE score of 22/24 and no major complications.

Conclusions:

  • Intermediate Alar Resection (IAR) enables targeted modification of intermediate crura for predictable nasal tip refinement.
  • The IAR technique is a safe and effective addition to rhinoplasty procedures.
  • The technique is associated with high levels of patient satisfaction and positive aesthetic outcomes.