Alar Base Lining Graft: A New Technique to Prevent and Correct Alar Retraction in Primary and Secondary Rhinoplasty.

Background: Rhinoplasty traditionally presents a challenge for plastic surgeons. The aim of this article is to describe a new alar base lining graft (ABLG) in augmentation rhinoplasty to prevent and treat alar retraction.

Methods: In this study, the authors retrospectively reviewed patients treated with ABLG at their institution between July of 2019 and April of 2022. The authors describe their technique and graft. At a minimum follow-up time of 1 year, postoperative photographs were taken, and patients were reassessed, evaluating aspects such as global symmetry, shape, and contour of the nose. Patient satisfaction was investigated according to the rhinoplasty outcomes evaluation questionnaire.

Results: A total of 42 patients were included in the study. They reported significant satisfaction with the aesthetic results, as demonstrated by the mean postoperative rhinoplasty outcomes evaluation score. Alar contracture in secondary rhinoplasty was treated successfully. None of the grafts was extruded or collapsed. Wounds healed without reported major infection.

Conclusion: This study demonstrates that ABLG is safe, contributes to improved functional and aesthetic outcomes, results in a high patient satisfaction rate, and has a low rate of postoperative complications.

Clinical question/level of evidence: Therapeutic, IV.