Alar Base Reduction with Y-V Sill Flap

Abstract

Rhinoplasty is one of the most common surgical intervention among all surgeries in esthetic and plastic surgery procedures. The alar bases have important roles in terms of overall appearance of the nose and the functionality but the research so far which focused specifically on alar base surgery can be considered as insufficient. In the present study, the author aims to demonstrate the beneficial effects of performing Y-V flaps in reduction of the alar base during preservation rhinoplasty procedures. The present study was designed as a retrospective. The inclusion criteria consisted of the following: having a preservation rhinoplasty, having an intervention to alar base during rhinoplasty, and being willing to share the medical data and images for medical purposes. According to inclusion and exclusion criteria, the data of 223 patients were screened. The Rhinoplasty Outcome Evaluation (ROE) scores was found between 80 and 100 points after 1 year. The initial ROE score increased significantly after 12 months of surgery (P<0.001). Rate of satisfaction was excellent in 89.76% according to ROE scale. Present alar base reduction method will present an easy way for alar base reduction procedures related to the Y-V flap. This method will serve a simple and safe way for surgeons for reducing alar base and obtaining better cosmetic and functional results during rhinoplasty surgeries.

Level of Evidence: Level III, therapeutic study.