Fractional Photothermolysis of a Replanted Nose: A Case Report

Ki, Sae Hwi; Oh, Jae Youn

doi:10.14730/aaps.2015.21.1.23

Cited by 1 publication

(4 citation statements)

References 8 publications

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“…However, the bulbous tip may be created if this technique was not well used. 12,13 The lateral crural strut graft can be used to treat lateral crural malposition and alar rim retraction, which has the advantage of moving the nostril base in a caudal direction. 3,14 But this procedure has drawbacks including complicated and timeconsuming process and worsening of alar flare, which makes it not recommended for focal alar retraction.…”

Section: Discussionmentioning

confidence: 99%

“…3,14 But this procedure has drawbacks including complicated and timeconsuming process and worsening of alar flare, which makes it not recommended for focal alar retraction. 3,13,14 The alar extension graft was performed to correct moderate-to-severe alar retraction, which included an autogenous cartilage graft located at the most caudal margin of the alar rim. 3,15 If skin limitations or severe scarring exist, composite grafting may be alternative in correcting alar retraction.…”

Section: Discussionmentioning

confidence: 99%

“…An upturned and pinched nose can also be corrected at the same time with the alar spreader graft. However, the bulbous tip may be created if this technique was not well used 12,13 . The lateral crural strut graft can be used to treat lateral crural malposition and alar rim retraction, which has the advantage of moving the nostril base in a caudal direction 3,14 .…”

Section: Discussionmentioning

confidence: 99%

“…The lateral crural strut graft can be used to treat lateral crural malposition and alar rim retraction, which has the advantage of moving the nostril base in a caudal direction 3,14 . But this procedure has drawbacks including complicated and time-consuming process and worsening of alar flare, which makes it not recommended for focal alar retraction 3,13,14 . The alar extension graft was performed to correct moderate-to-severe alar retraction, which included an autogenous cartilage graft located at the most caudal margin of the alar rim 3,15 .…”

Section: Discussionmentioning

confidence: 99%

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External Z-plasty Technique for Correction of Alar Retraction in Asian Patients

Zhu

Chen

et al. 2023

Journal of Craniofacial Surgery

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Background: Current strategies for correcting alar retraction mainly include cartilage grafting and composite grafting, which are relatively complicated and may produce injury to the donor site. Herein, we introduce a simple and effective external Z-plasty technique for correcting alar retraction in Asian patients with poor skin malleability. Methods: Twenty-three patients were presented with alar retraction and poor skin malleability, and they were very concerned about the shape of the nose. These patients undergoing external Z-plasty surgery were analyzed retrospectively. In this surgery, no grafts were needed, and the location of the Z-plasty was according to the highest point of the retracted alar rim. We reviewed the clinical medical notes and photographs. During the postoperative follow-up period, patients’ reported satisfaction with aesthetic outcome were also evaluated. Results: The alar retraction of all the patients was successfully corrected. The postoperative mean follow-up period was 8 months (range: 5–28 mo). No incidents of flap loss, recurrence of alar retraction, or nasal obstruction were observed during postoperative follow-up. Within postoperative 3–8 weeks, minor red scarring was visible at the operative incisions in most patients. However, these scars turned unobvious after postoperative 6 months. There were 15 cases (15/23) being very satisfied with the aesthetic outcome of this procedure. Seven patients (7/23) were satisfied with the effect and the invisible scar of this operation. Only one patient was dissatisfied with the scar, but she was satisfied with the correction effect of the retraction. Conclusion: This external Z-plasty technique can be an alternative method for correction of alar retraction with no need of cartilage grafting, and the scar can be unobvious with fine surgical suture. However, the indications should be limited in patients with severe alar retraction and poor skin malleability, who should not particularly care about the scars.

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