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Transcutaneous Alar Rim Graft: An Effective Technique to Manage Alar Deformity
Hamid Reza Fallahi1, Seied Omid Keyhan2, Tirbod Fattahi3
1Private Practitioner, Affiliate member of Dental Research Center, Research Institute of Dental Sciences, and School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Ahvaz, Iran.
Summary
This study introduces a new transcutaneous alar rim grafting technique for rhinoplasty. It effectively supports the nasal valve and improves alar harmony, addressing common cosmetic and functional issues.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Aesthetics
Background:
- Rhinoplasty presents significant surgical challenges, particularly concerning the alar rim.
- Alar rim integrity is vital for nasal tip aesthetics and function.
- External nasal valve collapse can result from trauma, congenital issues, or lower lateral cartilage (LLC) malposition.
Purpose of the Study:
- To present a straightforward and effective transcutaneous alar rim grafting technique.
- To enable precise graft placement for improved outcomes in rhinoplasty.
Main Methods:
- A total of 84 patients underwent transcutaneous alar rim grafting.
- A stab incision was made, followed by pocket creation in the alar fibrofatty tissue.
- Cartilage grafts were inserted into the created tunnel.
Main Results:
- The transcutaneous approach proved to be a simple and effective method.
- The technique successfully provided support for the external nasal valve.
- Alar harmony was enhanced in the treated patients.
Conclusions:
- Transcutaneous alar rim grafting is a valuable technique for improving nasal tip function and aesthetics.
- This method is effective for addressing issues like malpositioned LLC, alar flaring, and contour asymmetries.
- It is applicable in both primary and secondary rhinoplasty cases.
