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Vertical Alar Lengthening technique in correcting short noses
Erkan Soylu1, Alper Yenigun2, Orhan Ozturan2
1Medipol University, Faculty of Medicine, Department of Otorhinolaryngology, Bagcilar, Istanbul, Turkey.
American Journal of Otolaryngology
|July 12, 2023
Summary
The Vertical Alar Lengthening (VAL) technique effectively lengthens short and upturned Asian noses. This surgical method improves nasal tip definition and projection, leading to satisfactory aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Rhinoplasty
- Facial Aesthetics
Background:
- Facial harmony requires compatible nose length.
- Short, upturned noses can create an undesirable 'piggy' appearance.
Purpose of the Study:
- To lengthen noses and enhance tip definition in Asian patients with short noses.
- To effectively lengthen the medial and lateral crura.
Main Methods:
- The Vertical Alar Lengthening (VAL) technique was used on 29 Asian noses (17 revision, 12 primary).
- The technique involves lengthening the medial crus, applying a lateral crural extension graft, and placing a subdomal graft.
- Patients were followed for an average of 12 months.
Main Results:
- The VAL technique successfully lengthened the nose, moving the tip forward and downward.
- Reduced cephalic rotation and improved tip projection were observed in all patients.
- All patients achieved satisfactory aesthetic results.
Conclusions:
- The VAL technique is effective for correcting short nose deformities and revision cases in Asian rhinoplasty.
- This method successfully extends the nasal tip forward and downward, reducing rotation and lengthening the nose.
- Achieved desired nasal tip aesthetics and improved facial harmony.
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