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Correction of the retracted alar base.
William D Losquadro1, Anthony Bared, Dean M Toriumi
1Mount Kisco Medical Group, Katonah, New York, USA.
Facial Plastic Surgery : FPS
|May 8, 2012
Summary
Alar base retraction, a common rhinoplasty challenge, can be corrected using a graded approach. This method combines cartilage grafts and repositioning techniques for effective surgical outcomes.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstructive Surgery
Background:
- Alar base retraction is a frequent and challenging complication in rhinoplasty.
- Etiologies include weakened lateral crura, vestibular lining deficits, and congenital malpositioning.
Purpose of the Study:
- To present a graded surgical strategy for correcting alar base retraction.
- To detail the application of specific grafting and repositioning techniques.
Main Methods:
- A graded approach utilizing auricular composite grafting, alar rim grafting, and lateral crural strut grafts.
- Inclusion of caudal lateral crural repositioning as part of the technique.
Main Results:
- The presented method offers a structured solution for alar base retraction.
- Details on the efficacy of combined grafting and repositioning are provided.
Conclusions:
- The senior author's graded technique provides a reliable method for addressing alar base retraction.
- This approach integrates multiple reconstructive elements for optimal functional and aesthetic results.
