Twin Alar Rims: A Rare Type of Alar Rim Deformity and Its Correction Using “SAIL” Technique

  • Sushmitha RajmohanEmail author
  • Anuj Vyas
  • Rashmi Singh Rai
Case Report


The beauty and golden proportions of a face are largely determined by the shape and size of the nose one inherits. When the subunits of the nasal structure are considered, the width and structure of Ala and Alar rims determine to a large extent the beauty of the nose itself. Various classifications exist to evaluate the alar rim deformities that are inherited as well as iatrogenic, but occurrence of twin alar rims as a deformity has rarely been reported. This article reports the deformities of drooping tip, hanging columella, and asymmetry of alar rims along with twin alar rims. All the problems were addressed with an open rhinoplasty approach and combining the alar incision with the sail technique to achieve the correction of twin alar rim.


Alar rim Sail excision Hanging columella Twin ala 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.


  1. 1.
    Guyuron B (2001) Aalr rim deformities. From case western reserve university. Received for publication January 11, 2000; revised August 22, 2000. Vol 107, no. 3/Plastic and reconstructive surgery, pp 856–863Google Scholar
  2. 2.
    Gunter JP, Rohrich RJ, Friedman RM (1996) Classification and correction of alar-columellar discrepancies in rhinoplasty. Plast Reconstr Surg 97(3):643–648CrossRefGoogle Scholar
  3. 3.
    Baladiang DE, Olveda MB, Yap EC (2010) The “Sail” excision technique: a modified alar lift procedure for Southeast Asian noses. Philipp J Otolaryngol Head Neck Surg 5(1):31–37Google Scholar
  4. 4.
    Joseph Eric M, Glasgold Alvin I (2000) Anatomical considerations in the management of the hanging columella. Arch facial Plast Surg 2(3):173–177CrossRefGoogle Scholar
  5. 5.
    Anderson JR (1969) The dynamics of rhinoplasty. In: Proceedings of the ninth international congress of otolaryngology. Experta Medica International Congress series, No. 206. Excerpta Medica, Amsterdam, pp 708–10Google Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  • Sushmitha Rajmohan
    • 1
    Email author
  • Anuj Vyas
    • 2
  • Rashmi Singh Rai
    • 3
  1. 1.The Face Clinic - A Unit of “Aasya the Clinic” for Face, Jaws and TeethIndoreIndia
  2. 2.Department of Oral and Maxillofacial SurgeryRKDF Dental College & Research CentreBhopalIndia
  3. 3.Surgical OncologyBALCO Medical CentreRaipurIndia

Personalised recommendations