Correction of alar asymmetry using the sliding technique

Background : Cleft nose presents a challenging problem in the fields of rhinoplasty. We aim to provide a consolidation of surgical steps which help the patient get a desired nose and achieve satisfactory results. Objective: Alar asymmetry and nostril depression are the commonest deformities which is seen in cleft nose patients. There are various techniques which can be used in the correction of the nostril base; newer and more effective technique being used by the author called sliding technique where nostril base is elevated without any change in the contour. Methods : A total of 80 patients presenting to Shimmian Rhinoplasty Clinic were treated using the sliding technique. The preoperative and postoperative comparison was made. Results : The postoperative recovery and follow up has been good in the patients and there has been no incidence of complications after the surgical correction. The results have been proved to be very good using the sliding technique for the correction of the deformity. Almost all the patients were pleased with the results of their surgery. Conclusion : In cases of unilateral cleft lip, the author emphasizes that a combination of the sliding technique on the cleft side, with the alar correction on the noncleft side and a Subnasale flap for the columellar deviation is essential in achieving perfect nostril symmetry. The procedure is relatively simple, and primary closure is relatively easy.