Alar Base Disharmonies

Reshaping the Medial Nostril and Columellar Base

“…11 Guyuron also stressed the importance of medial crura footplate on overall contour of the nasal base. [12][13][14] He reported a wide angle of footplate divergence responsible for causing soft-tissue projection into the medial nostril. His method of correction used a simple U stitch, without cartilaginous resection, through an incision in the membranous septum.…”

Rhinoplasty

“…11 The lateral tip projection can be measured from the alar-cheek junction to the tip-defining point. In females, the dorsum should extend as a straight line until reaching the supratip break, which aesthetically separates the dorsum from the tip unit.…”

Correcting the Alar Base Retraction in Crooked Nose by Dissection of Levator Alaque Nasi Muscle

“…1 However, these excisional procedures may result to nostril distortion or stenosis, and these techniques will effect the width of the nasal base. 1,2 The question is whether the width of the nasal base is normal.…”

“…If the alar base is wide and cephalically malpositioned, classically, removal of an elliptical skin area from the junction of the alar base is planned. 1 The surgeon should completely release the alar base to prevent the elevation of the upper lip instead of transposing the alar base caudally. 1 However, these excisional procedures may result to nostril distortion or stenosis, and these techniques will effect the width of the nasal base.…”

“…1 The surgeon should completely release the alar base to prevent the elevation of the upper lip instead of transposing the alar base caudally. 1 However, these excisional procedures may result to nostril distortion or stenosis, and these techniques will effect the width of the nasal base. 1,2 The question is whether the width of the nasal base is normal.…”