Sequential Alar Base Resection in Primary and Secondary Rhinoplasty

Area of Science:

• Plastic Surgery
• Facial Aesthetic Surgery

Background:

• Ethnic rhinoplasty presents challenges, especially with wide or asymmetric alar bases and nostrils.
• Existing techniques may not fully address the need for customized and symmetric alar reductions while preserving ethnic identity.

Purpose of the Study:

• To describe the Sequential Alar Base Resection (SABR) technique for ethnic rhinoplasty.
• To evaluate the efficacy of SABR in achieving symmetric and customized alar reductions.
• To assess patient satisfaction and complication rates associated with SABR.

Main Methods:

• Retrospective review of 423 patients who underwent SABR between January 2019 and August 2023.
• Detailed description of SABR technique, alar resection patterns, and outcomes.
• Patient satisfaction assessed using the Rhinoplasty Outcome Evaluation (ROE) questionnaire.

Main Results:

• Satisfactory nasal contour reported based on mean postoperative ROE scores.
• Significant improvements in nasal base symmetry and harmony observed in all patients.
• No SABR-specific complications occurred, with minimal alar resection site morbidity.

Conclusions:

• The SABR technique facilitates customized alar recontouring and symmetric results through a two-step sequential procedure.
• SABR contributes to improved functional and aesthetic outcomes in ethnic rhinoplasty.
• The procedure demonstrates a high patient satisfaction rate and a low complication profile.