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Section: Asian Rhinoplasty

Alar Base Excision Rhinoplasty

A distinct minority of Asian patients undergoing rhinoplasty are sastisfactory candidates for reduction in the width of the nasal base or flare at the nostrils. Most such patients tend to be of southeast Asian or Filipino descent. The procedure may be used as an adjunct to either augmentation or reduction rhinoplasty.

asian wide alar base

The procedure works best when the lobule of the nose is normal in width since alar excision in the presence of a wide lobule with poor tip projection rather than simply wide alae can worsen appearance by making the nose appear aesthetically too square. Since the Asian nose has thicker skin and more fatty tissue just below, the operation is more extensive than when used in European patients and the improvement is generally less than dramatic.

alar base excision

In most cases, a variable full-thickness wedge of tissue is removed along the outer rim of each nostril and the resulting wounds then sutured. Some patients may undergo the operation more to try to even out alar base asymmetry than only reduce width.

Patients undergoing the more common form of Asian rhinoplasty designed to augment the nasal dorsum may be pleased to find that this operation alone is sufficient to adequately "mute" the impression of excessive width at the nasal base, thus allowing them to avoid the risks of additional alar excision surgery, such as visible scarring, postoperative imbalance, notching, or an over-operated appearance.

before and after alar base reduction rhinoplasty

Nasal width should always be evaluated in the context of other facial anatomy and not as an isolated feature. If the the skull and face are naturally very wide, a narrow nose can appear inharmonious and "surgical."


Next: Changing Nose Length


More on Asian Rhinoplasty >

Asian Rhinoplasty Overview
Introduction to surgery on the nose

Anatomy for Asian Rhinoplasty
Structure & terms for understanding rhinoplasty options

Augmentation Rhinoplasty Options
What features can rhinopasty alter on the Asian nose

Rhinoplasty Implant Choices
Materials used in augmentation of the nasal dorsum

Reduction Rhinoplasty
Correcting a bulge along the spine of the nose

Alar Base Excision Rhinoplasty
Decreasing a wide nasal base with flare at the nostrils

Changing Nose Length
Techniques for reduction or elongation of the nasal spine

Increasing Definition at the Nasal Tip
Rhinoplasty using cartilage to define the tip of the nose

Paranasal Augmentation
Implants and injectables to soften a depression around the nostrils

Non-Surgical Rhinoplasty
Injectable fillers to augment and reshape the Asian nose

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Note: Information, observations, and opinions are offered for general reference only and should not be taken as medical advice or diagnosis.

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