Y-V Alar Base Reduction

Internal excisions have a scar oriented perpendicular to the nostril sill, which can cause a visible notch.1 External excisions may excessively flatten the contour of the ala, making it appear to be "stuck onto" the cheek.2 This article describes a new technique for narrowing the alar base that decreases the interalar width, avoids a transverse scar, and preserves the natural relationship of the ala to the cheek. [...]return to the point at the end of the advancement and create a new limb into the vestibule, remaining in the skin.