Recently, Dr. Shah and coauthors published a scientific paper on alar retraction which was published in JAMA Facial Plastic Surgery September/October 2013.
Alar retraction is when one of the nostrils is retracted further up than the other. Prior to this paper being published, most surgeons assumed that alar retraction was something seen only in revision or redo rhinoplasty procedures. However, this paper demonstrated that alar retraction can be seen in patients without a history of previous rhinoplasty surgery. This paper also discusses how the use of cartilage grafts improved outcomes of patients versus those who did not have cartilage placed. Alar retraction is one of the most difficult rhinoplasty problems to correct, but this paper will help to broaden the understanding of alar retraction and possible solutions to correct it.