Abstract
Various surgical procedures were proposed for cosmetic alar reduction, but concerns including prominent scars and unnatural appearence remain. From January 2023 to January 2025, the author performed alar reduction using a modified rotation-advancement alar flap technique in 80 Asian patients. All 80 patients were followed up for 3-12 months (average 10.6 mo). Patients' satisfaction was assessed with a questionnaire focusing on profile improvement and scar prominence. The modified rotation-advancement alar flap technique was shown to be less invasive. It simultaneously improved nostril show, flared alae, and bilateral symmetry, yielding a natural and aesthetic outcome in Asians.