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Alar base resection is an essential part of rhinoplasty which is frequently utilized to narrow a wide nasal base or to correct excessive flaring of the lateral ala extending beyond the alar-facial groove. Multiple surgical techniques have been described in the literature including alar wedge excision, sill reduction, a combination of wedge and sill reduction, repositioning the alar insertion with a V-Y advancement flap, alar flap advancement, and multiple suturing techniques. The authors of this article propose a technique that can be used to correct excessive alar or sill reduction if encountered intraoperatively.

Excessive Alar Base Resection in Rhinoplasty