Facial Plast Surg
DOI: 10.1055/a-1987-3756
Original Article

Management of Wide Alar Lobule Using Preservation Rhinoplasty Philosophy: Alar Coring Technique

Maryam Hassan A H Abdulraheem
1   Division of Rhinology, Department of Otolaryngology, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar
2   Department of Otolaryngology – Head and Neck Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore, Singapore
Alwyn Ray D'Souza
3   Department of Otolaryngology – Head and Neck | Facial Plastic and Reconstructive Surgery, Canterbury Christchurch University, Canterbury, United Kingdom
› Author Affiliations


A broad alar base disrupts nasal harmony and facial aesthetic balance and is an aesthetic concern for many patients. This wide appearance may be related to excessive nostril sill, alar flare, wide alar lobule, or a combination. Many techniques are described in literature to address the alar base with resultant scars to a variable degree. Management of alar lobule thickness is particularly challenging. Our technique presented here introduces a novel method to reduce the thickness of the alar lobule with excellent aesthetic outcome.

Publication History

Accepted Manuscript online:
24 November 2022

Article published online:
29 January 2023

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