Surgical Tips for the Management of the Wide Nasal Base

Carniol, Eric T.; Adamson, Peter A.

doi:10.1055/s-0037-1621714

Cited by 11 publications

(5 citation statements)

References 10 publications

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“…Alar base surgery should be approached conservatively, because once it is performed, it cannot be easily reversed. If the amount of reduction is insufficient, an additional excision should be performed in future [8].…”

Section: Discussionmentioning

confidence: 99%

Complications of alar base reduction in Asians

Choi

2023

J Cosmet Med

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Background: Although alar base reduction can be beneficial for Asians, potential complications may arise following this procedure, including hypertrophic scarring, asymmetry of the nostrils, notching, loss of alar creases, and nasal obstruction. In some cases, revision surgery is required to address these issues.Objective: Achieving optimal results with alar base reduction requires careful consideration of potential complications, as well as the overall benefits for the patient. Surgeons must carefully evaluate factors, such as alar flaring, nostril width, and lateral alar length, to ensure that modifications are appropriate and effective.Methods: This study included 41 patients (19 males, 22 females; mean age: 25.3 years; range: 17-45 years) who underwent alar base reduction between January 2016 and December 2022. The mean observation period was 8.3 months (range: 6-14 months). Results:The degree of visible scarring was unnoticeable in 31 patients (75.6%), noticeable but acceptable in 9 (22.0%), and noticeable and unacceptable in 1 (2.4%). The degree of scar using the modified Stony Brook Scar Evaluation Scale scores was 5.32±0.690 for type 1 and 5.25±0.775 for type 2. Asymmetry was observed in 32 patients (78.0%). Notching of the nasal sill was observed in one patient (2.4%), and blunting of the alar crease was observed in two (4.9%). No patient required revision surgery. Conclusion:Although alar base reduction in Asians provided satisfactory cosmetic results, a special care is required to prevent complications such as nostril asymmetry and hypertrophic scars.

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Section: Discussionmentioning

confidence: 99%

Complications of alar base reduction in Asians

Choi

2023

J Cosmet Med

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“…However, residual columellar incision scars or possible deformities due to scar formation are the main disadvantages of this technique. Scar formation is influenced by factors such as incision and closure method, as well as postoperative care (1)(2)(3)(4). Previous studies have shown that absorbable sutures can be used safely in the columella without any long-term cosmetic concerns or an increased infection risk (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Comparison of scar outcomes of alar base and columella using irradiated polyglactin 911: a single-blind study

Ceylan¹,

YÜCEL²

2023

Anatolian Current Medical Journal

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Aim: The formation of scars on the face after open septorhinoplasty (SRP) with alar base reduction may disturb the patient due to cosmetic concerns. This study aimed to compare scar outcomes of the columella and alar base in patients undergoing SRP. Material and Method: Twenty-seven patients who underwent alar base reduction during primary open SRP were divided into two groups according to the intervened area as the Columella (CLM) group (n=27) and the Alar Base (AB) group (n=27). Irradiated polyglactin 911 was used in all patients. The modified Stony Brook Scar Evaluation Scale (SBSES) and a questionnaire form were used to measure scar outcomes and patient satisfaction. Columellar and alar base scar outcomes were compared. Results: Patient satisfaction and scar outcomes were better in the CLM group. There was no significant difference, except for the first month total SBSES scores, between the CLM and AB groups. There was no significant difference in patient questionnaire scores between groups. In the early period, there were more signs of inflammation in the alar base than in the columella, without statistical significance. Conclusion: Patient satisfaction and scar outcomes in the columellar area were favorable. Scar outcome on the alar base was statistically significantly worse than columella in the early period. There was no statistically significant difference between both areas in the long-term. Irradiated rapid vicryl can be used for closure of the alar base and columella, considering its advantages and disadvantages, in patients undergoing open septorhinoplasty with alar base reduction.

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“…We have a few evaluation tools that numerically and objectively measure the changes we make in patients. 3 4 5 6 7 8 9 Human beings make a self-image based on imagination. For this reason, it is logical to think that all the elements: photographs and 3D images will improve patient–doctor communication, potentially simplifying the expectations of the patient and those of the surgeon.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Nasal Analysis by Photographs (2D) against Low-cost Surface Laser Imaging (3D) and against Computed Axial Tomography Imaging

Rendón-Medina

Hanson-Viana

Mendoza-Vélez

et al. 2022

Indian J Plast Surg

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Introduction In aesthetic surgery, we have a few evaluation tools that numerically and objectively measure the changes we make in patients. This article aimed to evaluate the nasal systematic analysis and compare findings between the three systems of nasal evaluation: photographs 2D, 3D surface imaging with the Kinect system, and 3D CT scan imaging. Methods We designed a longitudinal and descriptive prospective study with simple non-blind randomization. To compare the systematic nasal analysis between the three methods. If the findings are similar, all three methods would be useful in independent clinical scenarios. Results A total of 42 observations were included finding a minimum age of 21 with a mean of 28 years old. Also, 64% were female, 93% had adequate facial proportions, and 50% were Fitzpatrick III. For outcome statistics, we found differential nasal deviation between 3D images with a mean of 6.53 mm. While when comparing the nasal dorsum length, we found a statistical significance of p = 0.051. When comparing the nasal dorsum length index, we found no significant difference p = 0.32. Also, we did not find statistical significance when comparing the nasofrontal angle and tip rotation angle p = 1 for both. Conclusion We found that the population we serve has characteristics of Hispanic mestizo nose. The three methods seem to evaluate systematic nasal analysis in a very similar way, and any of them can be used depending on the scenario and the needs of plastic surgeons.

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Surgical Tips for the Management of the Wide Nasal Base

Cited by 11 publications

References 10 publications

Complications of alar base reduction in Asians

Complications of alar base reduction in Asians

Comparison of scar outcomes of alar base and columella using irradiated polyglactin 911: a single-blind study

Comparison of Nasal Analysis by Photographs (2D) against Low-cost Surface Laser Imaging (3D) and against Computed Axial Tomography Imaging

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