Download PDF
Facial Plast Surg 2018; 34(01): 029-035
DOI: 10.1055/s-0037-1621714
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Tips for the Management of the Wide Nasal Base

Eric T. Carniol
1   Department of Otolaryngology -- Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
,
Peter A. Adamson
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology -- Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2018 (online)

Also available at
    Permissions and Reprints

Abstract

Alar base reduction (ABR) was first described by Weir in 1892, but continues to be a controversial topic in rhinoplasty in terms of optimal techniques. The authors describe the techniques for ABR including internal, external and combined ABR, flare excisions, and alar hooding reductions. The techniques described have resulted in consistent outcomes with acceptable scarring and high patient satisfaction.

Keywords

rhinoplasty - alar base reduction - alar base refinement - alar flare - alar hooding
 

  • References

  • 1 Zijilker TD, Vuyk H, Adamson PA. A historical review of external incisions in rhinoplasty. In: Td Z. , ed. The External Approach for Septorhinoplasty . Maastricht, The Netherlands: Datawyse; 1993: 13-27
    Google Scholar
  • 2 Kridel RW, Castellano RD. A simplified approach to alar base reduction: a review of 124 patients over 20 years. Arch Facial Plast Surg 2005; 7 (02) 81-93
    CrossrefPubMedGoogle Scholar
  • 3 Bashour M. History and current concepts in the analysis of facial attractiveness. Plast Reconstr Surg 2006; 118 (03) 741-756
    CrossrefPubMedGoogle Scholar
  • 4 Powell N, Humphreys B. Proportions of the Aesthetic Face . New York: Thieme-Stratton; 1984
    Google Scholar
  • 5 Foda HM. Alar base reduction: the boomerang-shaped excision. Facial Plast Surg 2011; 27 (02) 225-233
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Sands NB, Adamson PA. Global facial beauty: approaching a unified aesthetic ideal. Facial Plast Surg 2014; 30 (02) 93-100
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Thomas JR, Dixon TK. A global perspective of beauty in a multicultural world. JAMA Facial Plast Surg 2016; 18 (01) 7-8
    CrossrefPubMedGoogle Scholar
  • 8 Warner J, Adamson P. The crooked nasal tip. Facial Plast Surg 2011; 27 (05) 442-455
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Warner JP, Chauhan N, Adamson PA. Alar soft-tissue techniques in rhinoplasty: algorithmic approach, quantifiable guidelines, and scar outcomes from a single surgeon experience. Arch Facial Plast Surg 2010; 12 (03) 149-158
    CrossrefPubMedGoogle Scholar
  • 10 Adamson PA, Van Duyne JM. Alar base refinement. Aesthetic Plast Surg 2002; 26 (Suppl. 01) S20
    CrossrefPubMedGoogle Scholar
  • 11 Agrawal KS, Pabari M, Shrotriya R. A refined technique for management of nasal flaring: the quest for the holy grail of alar base modification. Arch Plast Surg 2016; 43 (06) 604-607
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997; 99 (04) 943-952 , discussion 953–955
    CrossrefPubMedGoogle Scholar