Evaluation of scar outcome post alar base reduction using di
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Alar base reduction was first performed in 1892, when Robert Wire began performing surgery to correct nasal flaring. A study was done to investigate scar outcomes following-alar base reduction in different surgical approaches.

There were 70 total patients, 35 in each group. The incision for alar reduction was placed in the alar-facial groove in Group 1; the incision was placed 1–2 mm anterior to the alar-facial groove in Group 2. During subjective scar assessment, 85.7% patients from Group 1 reported that their scars were unnoticeable, while 14.3% reported that they were noticeable but acceptable. In Group 2, 82.9% patients reported unnoticeable scars, while 17.1% reported noticeable but acceptable scars. Thus, no significant differences were observed in the subjective assessment for the two groups.

Alar resection along the alar-facial groove ensures better scar outcomes and hides the scar within that groove, especially in patients with a deep facial groove. Future studies should focus on the best method for limiting scarring in patients without deep facial grooves.

Source: https://www.joms.org/article/S0278-2391(20)30663-7/fulltext?rss=yes
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