Background <p>Alar preservation was first described in 1999. Since then, the strategy has been to obtain an improvement of the alar cartilages while preserving completely the lateral crus. Only in well selected few cases, a small resection of the supradomal framework was performed.</p> <p>This paper is about the evolution of the technique during 30 years.</p> Methods <p>This is a retrospective study of 100 consecutive primary rhinoplasties performed since January 2022 to August 2024. Also there is a “bonus”: One 30-year follow-up case is shown to validate by time the reliability of the technique.</p> Results <p>The Aesthetic goals were accomplished in the majority of the patients. The rate of complications were 8 cases(8%). But of those, 5 were related to dorsum and 3 to tip flaws.</p> Conclusions <p>This technique is logical, reliable, respectful of the delicate Alar anatomy and physiology by preserving maximally the original framework. Thirty&#xa0;years of follow-up is an important confirmation of the validity of this technique.</p> <b>Level of evidency</b> <p>Level III. Therapeutic study.</p>