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Alar Rim Excision: a method of thinning bulky nostrils Thick ala presents a challenging aesthetic issue, often one that both cosmetic surgeons and patients may hesitate to address using the traditional ‘pie-shaped’ skin excisions typically recommended. As an alternative, we offer a method of internally thinning the nostril rim through an alar base groove incision, known as alar rim excision. This technique can be performed in select cases, either in conjunction with an alar base resection or as
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