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Managing Alar Flare in Rhinoplasty

Rohrich, Rod J. M.D.; Malafa, Menyoli M. M.D.; Ahmad, Jamil M.D.; Basci, Deniz S. M.D.

Plastic and Reconstructive Surgery: November 2017 - Volume 140 - Issue 5 - p 910-919
doi: 10.1097/PRS.0000000000003786
Cosmetic: Special Topics
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Summary: Alar flare is a common feature that contributes to the width of the lower third of the nose. In the right patient, alar flare reduction can improve nasal harmony and facial aesthetic balance; however, it is also difficult to correct if conducted inappropriately or overzealously. The unique anatomy and diverse morphologies of the alar lobule, and the dynamic relationship between flare and changes in tip projection, must be considered. The authors provide guidelines for flare reduction: when it is appropriate and how to tailor the excision pattern to safely and effectively refine nasal width. Alar flare is classified into three types according to alar rim shape on basal view analysis. By designing the excision pattern based on specific flare type, the lower third of the nose is narrowed without creating an operated appearance.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

Dallas, Texas and Mississauga, Canada

From the Dallas Plastic Surgery Institute, and The Plastic Surgery Clinic, Mississauga, Ontario, Canada.

Received for publication September 12, 2016; accepted March 2, 2017.

Disclosure:Rod J. Rohrich, M.D., receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Medical Publishing. Dr. Ahmad receives book royalties from Thieme Publishers. No funding was received for this article.

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Rod J. Rohrich, M.D., Dallas Plastic Surgery Institute, 9101 North Central Expressway, Expressway # 600, Dallas, Texas 75231, Rod.rohrich@dpsi.org, @DrRodRohrich

Copyright © 2017 by the American Society of Plastic Surgeons