Managing Alar Flare in Rhinoplasty

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

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


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.


Original languageEnglish (US)
Pages (from-to)910-919
Number of pages10
JournalPlastic and Reconstructive Surgery
Issue number5
StatePublished - Nov 1 2017

ASJC Scopus subject areas

  • Surgery


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