Reshaping the Medial Nostril and Columellar Base

Geissler, Palmyra; Lee, Michael R. F.; Roostaeian, Jason; Unger, Jacob G.; Rohrich, Rod J.

doi:10.1097/prs.0b013e31829ad2d5

Cited by 15 publications

(26 citation statements)

References 10 publications

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“…7 The columella has both aesthetic and functional importance and forms the medial border of the nostril. 6,13 The ideal columella starts at the apex of the nostrils with a width approximately equal to the tip defining points. The columella then narrows symmetrically, reaching its narrowest width approximately at the junction between the middle one-third and lower one-third of the height of the columella.…”

Section: Discussionmentioning

confidence: 99%

“…6,7,14 Premature or excessive flaring of the medial crura leads to medial nostril convexity and/ or columellar widening. 6 Structural components and soft tissues play a role in the columellar anatomy. The caudal septum, anterior nasal spine and lower lateral cartilage are structural components that affect columellar appearance.…”

Section: Discussionmentioning

confidence: 99%

“…The caudal septum, anterior nasal spine and lower lateral cartilage are structural components that affect columellar appearance. 6,7,14 Columellar asymmetry is primarily caused by lower lateral cartilage problems. Examples of lower lateral cartilage problems include deviation of the medial crura, a difference in the height of the medial crura, and asymmetry or deformity of the lateral crura.…”

Section: Discussionmentioning

confidence: 99%

“…Caudal deviation of the septum causes displacement of the medial crus and soft tissues toward the nostril. 6 Various techniques have been described for the improvement of columellar deformities. Seltzer 6 described soft tissue resection and suture fixation, Rees 6 described muscle resection in addition to a similar technique, and Crumley 6 described midline fusiform skin excision.…”

Section: Discussionmentioning

confidence: 99%

“…5,8 Although there are a few published articles about the columella, which is an important component of nasal base aesthetics, these articles generally include columellar narrowing techniques. 6 In this article, a lateral columellar grafting technique that can be applied to augment the more defective side of the columella and obtain a more symmetrical nasal base is presented.…”

mentioning

confidence: 99%

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Rhinoplasty Technique for Improving Nasal Base Aesthetics

Cabbarzade

2023

Ann Plast Surg

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Background: One of the most important factors in nasal base aesthetics is symmetry. In the age of social media, the expectations of rhinoplasty patients and the rate of requests for a more symmetrical nose have increased. In this article, a lateral columellar grafting technique that can be applied to augment the more defective side of the columella and obtain a more symmetrical nasal base is presented. Methods: A total of 86 patients (women, 79; men, 7) were included in this study. The surfaces of the right and left lateral margins of the columella were evaluated from the basal view at the final stage of surgery, and a lateral columellar graft was placed on the more defective side. All patients who were included in the study were assessed with the Rhinoplasty Outcome Evaluation questionnaire before and 1 year after surgery. Results: The median age of the patients was 28.3 years (range, 18-56 years). Eighty-two patients were primary rhinoplasty patients, and 4 patients were secondary rhinoplasty patients. The median Rhinoplasty Outcome Evaluation score was 68.3 points before surgery and 92.3 points 1 year after surgery, showing a significant increase (P = 0.003). Patient satisfaction was found to be excellent in 93% of the included patients. Conclusions: Using the lateral columellar grafting technique, greater symmetry of the columella and nostrils can be obtained by augmenting the more defective side of the lateral columellar surface.

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Section: Discussionmentioning

confidence: 99%