Alar Base Reduction and Alar-Columellar Relationship

Choi, Ji Yun

doi:10.1016/j.fsc.2018.03.010

Cited by 26 publications

(36 citation statements)

References 18 publications

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“…Although alar deformity is commonly encountered, its correction through rhinoplasty is challenging because of the possibility of unexpected results with a risk of scar formation and possible nostril asymmetry. 4) Correction of HA, which was the most prevalent type of alar deformity in our study, is relatively simple and can be easily performed by removing an elliptical alar lining along with a proportional amount of subcutaneous tissue while leaving the skin intact. 4) In contrast, correction of alar retraction, which is the most prevalent deformity type in Caucasians, may be one of the most challenging procedures because of the lack of adequate soft tissue in rhinoplasty.…”

Section: Discussionmentioning

confidence: 89%

“…4) Correction of HA, which was the most prevalent type of alar deformity in our study, is relatively simple and can be easily performed by removing an elliptical alar lining along with a proportional amount of subcutaneous tissue while leaving the skin intact. 4) In contrast, correction of alar retraction, which is the most prevalent deformity type in Caucasians, may be one of the most challenging procedures because of the lack of adequate soft tissue in rhinoplasty. 6)9) Scar contracture due to a previous surgery is a common cause of alar retraction in Asians.…”

Section: Discussionmentioning

confidence: 89%

“…In this regard, a researcher classified alar bases into six types depending on the surgical technique used in Asians during rhinoplasty. 4) However, to the best of our knowledge, no universally accepted classification system takes into account the charac-teristics of Asian ala. Our findings show the necessity for a new systemic alar classification for Asian rhinoplasty, which is not only limited to the basal view but also considers the alarcolumellar relationship, which will be helpful for a detailed analysis and surgical success.…”

Section: Discussionmentioning

confidence: 99%

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Alar Rim Deformities in Korean Primary Rhinoplasty Patients

Kim¹,

Lee²,

Kim³

et al. 2021

J Rhinol

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Background and Objectives: The alar-columellar relationship plays an important role in the esthetic balance of the nose. We analyzed alar rim deformities and aesthetic concerns and expectations among patients by deformity type in Korean primary rhinoplasty patients.Materials and Methods: Retrospective photographic analysis was done on 336 patients planning to undergo primary rhinoplasty at Kyung Hee University Hospital at Gangdong. We categorized their alar rim deformities as normal, hanging columella, retracted columella, hanging ala, retracted ala, convex ala, concave ala, thick ala, and a combination of the above. Patients’ aesthetic concerns and expectations about their nose were analyzed by preoperative questionnaire.Results: Of the enrolled patients, 38 (11.3%) had no alar rim deformities, and the other 298 patients (88.7%) had one or more deformities. The most prevalent alar rim deformity was hanging ala (59.2%), followed by convex ala (53.3%) and thick ala (32.1%). Male patients were more likely to have convex ala and retracted columella than female patients. More than one-half of the patients (64.1%) had two or more deformities and tended to be young (p=0.028). Patients with thick ala had several reasons for being dissatisfied with their nose and various demands for correction.Conclusion: Distinctive characteristics of alar rim deformities should be considered in surgical planning in order to obtain satisfactory results in Korean primary rhinoplasty patients.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Alar Rim Deformities in Korean Primary Rhinoplasty Patients

Kim¹,

Lee²,

Kim³

et al. 2021

J Rhinol

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“…These complications include scarring, notching, asymmetry, and overall deformity. 9,10 In the present research, the author described several alar reducing methods which included lateral alar reduction can be performed. If the patient has excessive sill width, Y-V sill flap advancement range can be determined depending on the nostril size of the patient.…”

Section: Discussionmentioning

confidence: 99%

Alar Base Reduction with Y-V Sill Flap

Öztürk

2022

Journal of Craniofacial Surgery

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Rhinoplasty is one of the most common surgical intervention among all surgeries in esthetic and plastic surgery procedures. The alar bases have important roles in terms of overall appearance of the nose and the functionality but the research so far which focused specifically on alar base surgery can be considered as insufficient. In the present study, the author aims to demonstrate the beneficial effects of performing Y-V flaps in reduction of the alar base during preservation rhinoplasty procedures. The present study was designed as a retrospective. The inclusion criteria consisted of the following: having a preservation rhinoplasty, having an intervention to alar base during rhinoplasty, and being willing to share the medical data and images for medical purposes. According to inclusion and exclusion criteria, the data of 223 patients were screened. The Rhinoplasty Outcome Evaluation (ROE) scores was found between 80 and 100 points after 1 year. The initial ROE score increased significantly after 12 months of surgery (P<0.001). Rate of satisfaction was excellent in 89.76% according to ROE scale. Present alar base reduction method will present an easy way for alar base reduction procedures related to the Y-V flap. This method will serve a simple and safe way for surgeons for reducing alar base and obtaining better cosmetic and functional results during rhinoplasty surgeries. Level of Evidence: Level III, therapeutic study.

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“…As a penultimate step, reduction of the alar base can be performed with an alar base resection to reduce nostril size and to correct nostril asymmetries. 24,25 Lateral nasal bone infracturing may be performed via vestibular or gingivobuccal sulcus incisions to close an open roof and narrow the middle vault.…”

Section: Craniofacial Techniques By Regionmentioning

confidence: 99%

Facial Feminization Surgery Review: Diagnosis, Preoperative Planning, Surgical Techniques, and Outcomes

Choe

Parikh

Barnett

et al. 2021

FACE

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Facial Feminization Surgery (FFS) broadly encompasses a series of surgical procedures offered by craniomaxillofacial surgeons designed to modify facial features and transform both skeletal and soft tissues to create a more feminine appearance. Techniques, initially pioneered by Dr. Douglas Ousterhout, have been modified to include preoperative virtual planning and evolving aesthetic preferences. Computed Tomography (CT) imaging assists with morphologic typing of the brow, supraorbital, chin, and lateral mandible regions. Advancements in instrumentation increase the efficiency and accuracy of FFS procedures. More recently, trends in transgender acceptance have led to improved insurance authorization for FFS procedures. Objective outcome studies have shown success in achieving goals of (1) minimizing mis-gendering in public (appropriately identifying trans-women as female) and (2) reduction in dysphoric feelings (improved patient satisfaction).

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Alar Base Reduction and Alar-Columellar Relationship

Cited by 26 publications

References 18 publications

Alar Rim Deformities in Korean Primary Rhinoplasty Patients

Alar Rim Deformities in Korean Primary Rhinoplasty Patients

Alar Base Reduction with Y-V Sill Flap

Facial Feminization Surgery Review: Diagnosis, Preoperative Planning, Surgical Techniques, and Outcomes

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