J Cosmet Med.  2023 Jun;7(1):9-12. 10.25056/JCM.2023.7.1.9.

Complications of alar base reduction in Asians

• Choi JY

• KMID: 2561149
• DOI: http://doi.org/10.25056/JCM.2023.7.1.9

Abstract

Background
Although alar base reduction can be beneficial for Asians, potential complications may arise following this procedure, including hypertrophic scarring, asymmetry of the nostrils, notching, loss of alar creases, and nasal obstruction. In some cases, revision surgery is required to address these issues.
Objective
Achieving optimal results with alar base reduction requires careful consideration of potential complications, as well as the overall benefits for the patient. Surgeons must carefully evaluate factors, such as alar flaring, nostril width, and lateral alar length, to ensure that modifications are appropriate and effective.
Methods
This study included 41 patients (19 males, 22 females; mean age: 25.3 years; range: 17–45 years) who underwent alar base reduction between January 2016 and December 2022. The mean observation period was 8.3 months (range: 6–14 months).
Results
The degree of visible scarring was unnoticeable in 31 patients (75.6%), noticeable but acceptable in 9 (22.0%), and noticeable and unacceptable in 1 (2.4%). The degree of scar using the modified Stony Brook Scar Evaluation Scale scores was 5.32±0.690 for type 1 and 5.25±0.775 for type 2. Asymmetry was observed in 32 patients (78.0%). Notching of the nasal sill was observed in one patient (2.4%), and blunting of the alar crease was observed in two (4.9%). No patient required revision surgery.
Conclusion
Although alar base reduction in Asians provided satisfactory cosmetic results, a special care is required to prevent complications such as nostril asymmetry and hypertrophic scars.

Keyword

alar base; complications; rhinoplasty; scar