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Related Experiment Videos

Calibrated alar base excision: a 20-year experience.

P W McKinney1, R D Mossie, M H Bailey

  • 1Division of Plastic, Reconstructive and Maxillofacial Surgery, Northwestern University, Chicago, Illinois 60611.

Aesthetic Plastic Surgery
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

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Calibrated alar base excision offers a standardized approach to rhinoplasty, addressing various nostril asymmetries. This modified Weir technique provides natural-looking results with minimal complications.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Aesthetic Surgery

Background:

  • Conflicting guidelines for alar base excisions in rhinoplasty necessitate standardized techniques.
  • The Weir approach is a foundational method for alar base modification.

Purpose of the Study:

  • To introduce and evaluate a modified Weir approach termed calibrated alar base excision.
  • To provide clear surgical guidelines for correcting specific alar base aesthetic concerns.

Main Methods:

  • A modified Weir technique involving calibrated alar base excision was developed.
  • The technique was applied as a final step in approximately 20% of 1500 rhinoplasties.
  • Specific excision patterns (crescent, sill, combination, diamond) were used based on the type of nasal asymmetry.

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Main Results:

  • The technique addressed lateral wall excess (95%), nostril floor excess (2%), combined excess (2%), and thick nostril rims (1%).
  • Closure was achieved with simple external sutures, avoiding electrocautery and deep sutures except in specific cases.
  • Few complications were reported, indicating a favorable safety profile.

Conclusions:

  • Calibrated alar base excision offers a straightforward, reliable method for nasal base contouring.
  • The technique yields natural-appearing results, avoids notching and scarring, and is efficient.
  • This approach provides a practical solution to common alar base aesthetic issues in rhinoplasty.