The Non-Caucasian (Ethnic or Platyrrhine) Nose

Berman, Walter E.

doi:10.1177/014556139507401105

Cited by 8 publications

(11 citation statements)

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“…The major advantage of the cinching suture techniques is avoiding external incisions; however, many limitations are associated with the use of such technique in cases with wide base and excessive flaring, as it may lead to bunching of floor of nostrils and excessive rounding of alae. This stimulated some authors [16][17][18] to modify the technique by combining it with excisions from vestibular floor or alar lobule.…”

Section: Discussionmentioning

confidence: 99%

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Alar Base Reduction: The Boomerang-Shaped Excision

Foda

2011

Facial plast Surg

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A boomerang-shaped alar base excision is described to narrow the nasal base and correct the excessive alar flare. The boomerang excision combined the external alar wedge resection with an internal vestibular floor excision. The internal excision was inclined 30 to 45 degrees laterally to form the inner limb of the boomerang. The study included 46 patients presenting with wide nasal base and excessive alar flaring. All cases were followed for a mean period of 18 months (range, 8 to 36 months). The laterally oriented vestibular floor excision allowed for maximum preservation of the natural curvature of the alar rim where it meets the nostril floor and upon its closure resulted in a considerable medialization of alar lobule, which significantly reduced the amount of alar flare and the amount of external alar excision needed. This external alar excision measured, on average, 3.8 mm (range, 2 to 8 mm), which is significantly less than that needed when a standard vertical internal excision was used ( P < 0.0001). Such conservative external excisions eliminated the risk of obliterating the natural alar-facial crease, which did not occur in any of our cases. No cases of postoperative bleeding, infection, or vestibular stenosis were encountered. Keloid or hypertrophic scar formation was not encountered; however, dermabrasion of the scars was needed in three (6.5%) cases to eliminate apparent suture track marks. The boomerang alar base excision proved to be a safe and effective technique for narrowing the nasal base and elimination of the excessive flaring and resulted in a natural, well-proportioned nasal base with no obvious scarring.

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Section: Discussionmentioning

confidence: 99%

“…In a further trial to avoid external scarring, some authors [15][16][17][18] described using cinching and bunching sutures to approximate the alae and narrow the nasal base, yet these suturing techniques failed to gain wide popularity.…”

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confidence: 99%

Alar Base Reduction: The Boomerang-Shaped Excision

Foda

2011

Facial plast Surg

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“…That is, the nasal dorsum should be straight, defined, and relatively narrow; the tip should be defined and symmetric and project as the highest point along the dorsum; the width of the alar base should be proportional to the dorsum; and the nose should be in proportion to the face. 2 Once again, in the author's experience, most non-Caucasian patients seeking rhinoplasty desire nasal refinement, not obliteration of ethnic identity. One should avoid ethnic incongruity, or the "Michael Jackson nose.…”

Section: Case Examplementioning

confidence: 94%

Non-Caucasian Rhinoplasty

Wang

2003

Facial Plast Surg

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Non-Caucasian patients seeking rhinoplasty often have similar goals as their Caucasian counterparts. However, surgeon sensitivity to ethnic variations and patient desires are crucial to a successful outcome. This article presents some of the commonly encountered issues seen in non-Caucasian rhinoplasty, including minimal modification, augmentation materials, and complications with infected and extruded implants.

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“…However, since the early 1980s, a return to use of the external cutaneous excision to avoid the risk of notching of the alar rims after vestibular skin excisions has been noted. [7][8][9][10][11] In a further attempt to avoid external scarring, some authors [12][13][14] have described using cinching sutures to approximate the alae and narrow the nasal base; however, these suturing techniques failed to gain wide popularity.…”

Section: T He Concept Of Narrow-mentioning

confidence: 99%

“…However, many limitations are associated with the use of this technique for wide noses with excessive flaring because it may lead to bunching of the floor of the nostrils and excessive rounding of the alae. These limitations stimulated some authors 13,14 to modify the technique by combining it with excisions from the vestibular floor or the alar lobule.…”

Section: Commentmentioning

confidence: 99%

Nasal Base Narrowing

Foda

2007

Archives of Facial Plastic Surgery

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To evaluate the role of the combined alar base excision technique in narrowing the nasal base and correcting excessive alar flare.Methods: The study included 60 cases presenting with a wide nasal base and excessive alar flaring. The surgical procedure combined an external alar wedge resection with an internal vestibular floor excision. All cases were followed up for a mean of 32 (range, 12-144) months. Nasal tip modification and correction of any preexisting caudal septal deformities were always completed before the nasal base narrowing. Results:The mean width of the external alar wedge excised was 7.2 (range, 4-11) mm, whereas the mean width of the sill excision was 3.1 (range, 2-7) mm. Completing the internal excision first resulted in a more conservative external resection, thus avoiding any blunting of the alar-facial crease. No cases of postoperative bleeding, infection, or keloid formation were encountered, and the external alar wedge excision healed with an inconspicuous scar that was well hidden in the depth of the alar-facial crease. Finally, the risk of notching of the alar rim, which can occur at the junction of the external and internal excisions, was significantly reduced by adopting a 2-layered closure of the vestibular floor (P=.01). Conclusions:The combined alar base excision resulted in effective narrowing of the nasal base with elimination of excessive alar flare. Commonly feared complications, such as blunting of the alar-facial crease or notching of the alar rim, were avoided by using simple modifications in the technique of excision and closure.

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The Non-Caucasian (Ethnic or Platyrrhine) Nose

Cited by 8 publications

References 0 publications

Alar Base Reduction: The Boomerang-Shaped Excision

Alar Base Reduction: The Boomerang-Shaped Excision

Non-Caucasian Rhinoplasty

Nasal Base Narrowing

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