CC BY-NC 4.0 · Arch Plast Surg 2016; 43(06): 604-607
DOI: 10.5999/aps.2016.43.6.604
Idea and Innovation

A Refined Technique for Management of Nasal Flaring: The Quest for the Holy Grail of Alar Base Modification

Kapil S Agrawal
Department of Plastic Surgery, KEM Hospital, Mumbai, India
Mansi Pabari
Department of Plastic Surgery, KEM Hospital, Mumbai, India
Department of Plastic Surgery, KEM Hospital, Mumbai, India
› Author Affiliations

“A smile is happiness you'll find right under your nose”– Tom Wilson. This quote holds true just for patients, not for surgeons. The correction of the nose always poses a challenge to the cosmetic surgeon. Deformities of the external and internal nose may be congenital or acquired and may be secondary to soft tissue and/or osseo-cartilaginous abnormalities, leading to aesthetic and/or functional consequences. Alar flare poses a common problem, sometimes alone and sometimes in conjunction with other external deformities. Alar base reduction is generally considered when the interalar distance exceeds the intercanthal distance. It has been well documented that this simple additional procedure brings about a substantial enhancement in the nose. Various techniques have been described and used in the past, each having their benefits and drawbacks, with the modified Weir wedge excision, Aufricht nasal sill excision, and Bernstein V-Y advancement being the common ones. We hereby describe a technique that is simple yet effective in achieving the desired results and at the same time aims at preventing relapse to obtain satisfactory long term results.

Publication History

Received: 18 February 2016

Accepted: 24 May 2016

Article published online:
20 April 2022

© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

  • References

  • 1 Daniel RK. Middle Eastern rhinoplasty in the United States: Part II. Secondary rhinoplasty. Plast Reconstr Surg 2009; 124: 1640-1648
  • 2 Saltman BE, Pearlman SJ. Incidence of alarplasty in primary and revision rhinoplasty in a private practice setting. Arch Facial Plast Surg 2009; 11: 114-118
  • 3 Weir RF. On restoring noses without scarring the face. N Y Med J 1892; 56: 449-454
  • 4 Anderson JR. A reasoned approach to nasal base surgery. Arch Otolaryngol 1984; 110: 349-358
  • 5 Foda HM. Nasal base reduction. J Asthet Chir 2014; 7: 8-15
  • 6 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: 81-93
  • 7 Aufricht G. A few hints and surgical details in rhinoplasty. Laryngoscope 1943; 53: 317-335
  • 8 Bernstein L. Esthetic anatomy of the nose. Laryngoscope 1972; 82: 1323-1330
  • 9 Daniel RK, Regnault P. Rhinoplasty: aesthetic plastic surgery. Boston: Little, Brown; 1993