Alar base symmetrization suture in ethnic rhinoplasty

  • Guilherme Barros De Monteiro Bussade
  • Francesco D’Andrea
  • Fabrizio Schonauer
  • Giovanni Francesco Nicoletti
  • Gisella NeleEmail author
Ideas and Innovations


Alar base surgery has been widely studied in modern rhinoplasty. After the equalization of the dorsum-tip relationship and the improvement of the nasolabial, nasocolumellar and nasofrontal angle, also alar base, needs to be harmonized also. Several classifications of alar base deformities have been described, as well as many techniques for correcting them. This work aims to demonstrate that alar base symmetrization suture (abss) is effective in keeping the nasal wings symmetrical immediately after alar wedges resection and also permits maintenance of the symmetrization during time. It is a simple technique to perform with long-lasting esthetic results.

Level of evidence: Level V, therapeutic study.


Ethnic Rhinoplasty Alar base Symmetry  Nose 


Compliance with ethical standards

Conflict of interest

Guilherme Barros De Monteiro Bussade, Francesco D’Andrea, Fabrizio Schonauer, Giovanni Francesco Nicoletti, and Gisella Nele declare that they have no conflict of interest.

Patient consent

Patients provided written consent before their inclusion in this study. Additional written consent was obtained for the use of their images.

Ethical approval

All the procedures performed in this study were in accordance with the ethical standards of the institutional and national Brazilian research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Supplementary material


(MP4 91867 kb)


  1. 1.
    Gruber RP, Freeman MB, Hsu C, Elyassnia D, Reddy V (2009) Nasal base reduction: a treatment algorithm including alar release with medialization. Plast Reconstr Surg 123(2):716–725CrossRefPubMedGoogle Scholar
  2. 2.
    Rohrich RJ, Malafa MM, Ahmad J, Basci DS (2017) Managing alar flare in rhinoplasty. Plast Reconstr Surg 140(5):910–919CrossRefPubMedGoogle Scholar
  3. 3.
    Guyuron B (2012) Rhinoplasty, 1st edn. Elsevier Saunders, AtlantaGoogle Scholar
  4. 4.
    Weir RF (1988) On restoring sunken noses without scarring the face. 1892. Aesthet Plast Surg 12:203–206CrossRefGoogle Scholar
  5. 5.
    Joseph J (1931) Nasenplastik und sonstige Gesichtsplastik nebst enim AnhangU¨ ber Mamaplastik. Leipz Ger Curt Kabitzsh:110–113Google Scholar
  6. 6.
    Peck GC, Gruber R, Michelson LN (1993) Alar wedge excisions. In: Peck GC, Gruber R (eds) Rhinoplasty: state of the art. Mosby, St Louis, pp 139–150Google Scholar
  7. 7.
    Bernstein L (1972) Esthetic anatomy of the nose. Laryngoscope. 82:1323–1330CrossRefPubMedGoogle Scholar
  8. 8.
    Gruber RP (2002) Nasal base reduction: an updated technique. Aesthetic Surg J 22:289–291CrossRefGoogle Scholar
  9. 9.
    Cobo R (Jun) Trends in facial plastic surgery in Latin America. Facial Plast Surg 29(3):149–153Google Scholar
  10. 10.
    Censo 2010 IBGE ( Instituto Brasileiro de Geografia e Estatistica
  11. 11.
    Hinderer KH (1971) Fundamentals of anatomy and surgery of the nose. Aesculapius Publishing, Birmingham, 54, Pp 30, 115, 151–153Google Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Rio De JaneiroBrazil
  2. 2.Università degli Studi di Napoli Federico IINaplesItaly
  3. 3.University Federico II of NaplesNaplesItaly
  4. 4.Università degli studi della Campania Luigi VanvitelliNaplesItaly

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