title: Aesthetic Outcomes of Alar Base Resection in Asian Patients Undergoing Rhinoplasty.
abstract: OBJECTIVE
  Combined sill and alar excision is a useful procedure for correcting a wide nasal base and flared alar lobules. However, the aesthetic outcomes of this technique remain poorly reported.
  
  
  OBJECTIVE
  To evaluate the aesthetic outcomes of combined sill and alar excision in Asian patients undergoing rhinoplasty.
  
  
  METHODS
  A retrospective cohort study of 73 consecutive patients who underwent combined sill and alar excision from March 1, 2004, to January 31, 2013, was conducted at a tertiary referral hospital in Korea.
  
  
  METHODS
  Combined sill and alar excision.
  
  
  METHODS
  Changes in the ratio of the interalar distance to intercanthal distance and frequencies of alar flaring, nostril symmetry, and nostril shape, as measured by reviewing photographs taken before and after the surgery.
  
  
  RESULTS
  Among the 73 patients (50 men and 23 women; mean [SD] age, 36.5 [12.3] years) the mean (SD) ratio of interalar distance to intercanthal distance changed significantly from 1.07 (0.11) to 1.04 (0.08) (P < .001). Of the 60 patients with alar flaring, 45 (75%) no longer had flaring after the procedure. The frequency of nostril symmetry increased from 38 patients (52%) to 46 (63%) (P < .001). The frequency of horizontally shaped nostrils decreased from 21 patients (29%) to 2 (3%), while the frequency of the preferred pear-shaped nostrils increased from 20 patients (27%) to 35 (48%) (odds ratio, 1.16; 95% CI, 0.63-2.14; P = .02). There were 4 cases of complications, namely, alar deformity (1 patient [1%]), unsatisfactory correction of asymmetrical nostrils (1 [1%]), and unsatisfactory correction of alar flaring (2 [3%]).
  
  
  CONCLUSIONS
  Combined sill and alar excision was a useful technique with a low complication rate for correcting wide alar base, alar flaring, nostril asymmetry, and nostril shape.
  
  
  METHODS
  4.
authors.affiliation: Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
authors.forename: Ji Heui
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
authors.forename: Joon Pyo
authors.initials: JP
authors.lastname: Park
authors.affiliation: Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
authors.forename: Yong Ju
authors.initials: YJ
authors.lastname: Jang
mesh_terms: D000328:Adult; D044466:Asian People; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D056910:Republic of Korea; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D062606:Tertiary Care Centers; D016896:Treatment Outcome