摘要

Objectives: Alar rim as functionally and aesthetically is one of the most important subunits of the nose, which is mainly formed by lower lateral cartilage. In the field of aesthetics, the configuration of the alar rims on both sides is important in the placement of the nose tip and on the other hand in such a way any regularity is always visible. The proper appearance of the rim includes regular contours, well-defined margins, and a normal relationship with the columella. Alar rim reconstruction for correction of irregularities and asymmetries is one of the most important aims of rhinoplasty. Introduction: several methods have been introduced which their efficiency and indication of these methods is different and it can still be more ideas for introducing new techniques . Materials / method: During open rhinoplasty at the end of operation and suture step or inverted V incision on columella and before complete close mucosal layer , a piece of cartilage with average size 10x4x2 mm placed subcutaneously in space of previously dissected for skeletonization of nose and fixed transcutaneously with a 0-6 non-absorbable suture ( Prolene ) and remove two week after operation . Results: : Patients was evaluated after two weeks, one month and six months and one year after operation and alar rim evaluated according to the Gunter classification and Guyuron classification and result was good and acceptable Conclusion: alar rim reshaping with this technique is simple and without any complication and with long term good result suggested in routine rhinoplasty which need more cartilage reshape and support