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Published on: June 20, 2018
Refining vertical lobule division in open septorhinoplasty.
Etai Funk1, Nitin Chauhan, Peter A Adamson
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Archives of Facial Plastic Surgery
|March 18, 2009
Summary
Vertical lobule division (VLD) is a safe and effective rhinoplasty technique for nasal tip refinement. This method reliably repositions the nasal tip, offering predictable aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
Background:
- Nasal tip aesthetics are crucial in rhinoplasty.
- Various surgical techniques aim to refine nasal tip structure and projection.
Purpose of the Study:
- To review the indications, surgical techniques, and outcomes of vertical lobule division (VLD) of the alar cartilages.
- To evaluate VLD in relation to the M-Arch Model for nasal tip refinement.
Main Methods:
- Retrospective study of patients undergoing VLD of lower lateral cartilages.
- Data collected from a private facial plastic surgery practice within a university teaching hospital.
Main Results:
- VLD decreased projection in 34/41 patients.
- The technique corrected wide/boxy tips (25), knuckling/bossae (20), and asymmetry (14).
- Revision surgery was needed in one case for increased rotation.
Conclusions:
- Vertical lobule division is a reliable and safe technique for nasal tip repositioning.
- VLD preserves the tip complex while offering versatility in tip refinement.
- Predictable outcomes are achievable with VLD in rhinoplasty.
