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Postsurgical Alar Retraction: Etiology and Treatment
Wee Tin K Kao1, Richard E Davis2
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Miami Miller School of Medicine, 1120 Northwest 14th Street, 5th Floor, Miami, FL 33136, USA.
Facial Plastic Surgery Clinics of North America
|October 8, 2019
Summary
The external rhinoplasty approach effectively corrects postsurgical alar retraction (PSAR). This technique uses structural grafting to release, reposition, and support the alar margin, restoring nasal tip aesthetics.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- The cephalic trim technique in rhinoplasty can cause significant tip deformities.
- Postsurgical alar retraction (PSAR) is a notable complication requiring effective correction strategies.
Purpose of the Study:
- To present a refined external rhinoplasty approach for correcting PSAR.
- To detail a structural treatment paradigm for managing severe PSAR in secondary rhinoplasty.
Main Methods:
- Utilizing an external rhinoplasty approach to address PSAR.
- Employing septal extension grafts to stabilize the central tip complex.
- Adjusting lateral crural length and using alar rim grafts for structural support and margin repositioning.
Main Results:
- Successful correction of severe PSAR in a majority of secondary rhinoplasty cases.
- Demonstrated efficacy of the described structural grafting techniques.
Conclusions:
- The advocated external rhinoplasty method provides a robust solution for PSAR.
- This structural approach offers predictable outcomes for complex nasal tip reconstruction.
Keywords:
Alar notchingArticulated alar rim graftPinched tipPost-rhinoplasty complicationsPost-surgical alar retractionRhinoplasty
