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Alar reductions in rhinoplasty

S E Gilbert1

  • 1Department of Otolaryngology, University of Oklahoma Health Sciences Center, Tulsa, USA.

Archives of Otolaryngology--Head & Neck Surgery
|July 1, 1996
PubMed
Summary
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Avoiding the vestibular portion of alar reduction in rhinoplasty significantly reduces postoperative nasal sill notching and scarring. This modification enhances the cosmetic outcome of the nasal sill.

Area of Science:

  • Plastic Surgery
  • Facial Plastic Surgery
  • Aesthetic Surgery

Background:

  • Alar reduction is a common component of rhinoplasty.
  • The nasal sill's aesthetic result can be affected by alar reduction techniques.
  • Scarring and notching are potential complications of alar reduction.

Purpose of the Study:

  • To evaluate the cosmetic impact of avoiding the vestibular portion during alar reduction.
  • To determine if modifying alar reduction technique improves the nasal sill appearance post-rhinoplasty.

Main Methods:

  • A blind, randomized review of 40 patients' postoperative photographs taken 1 year after rhinoplasty.
  • Two surgical techniques were compared: cutaneous-vestibular vs. cutaneous-only alar excisions.
  • Surgeons rated the nasal sill for scarring and notching.

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Main Results:

  • Patients undergoing cutaneous-only alar reduction showed significantly less perceived notching.
  • The cutaneous-only group also exhibited significantly less perceived scarring.
  • These findings suggest a clear aesthetic benefit to the modified technique.

Conclusions:

  • Modifying alar reduction to exclude the vestibular portion improves the aesthetic outcome of the nasal sill.
  • Avoiding crossing the nostril rim during alar reduction is recommended for better cosmetic results.
  • This technique refinement enhances patient satisfaction in rhinoplasty procedures.