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Related Experiment Videos

Alar rim lowering.

R Ellenbogen

    Plastic and Reconstructive Surgery
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    This study presents an expanded technique for lowering the alar rim in nasal deformities. The method uses a cartilage graft to adjust nostril height without sacrificing overall nasal length.

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    Area of Science:

    • Plastic Surgery
    • Rhinoplasty
    • Facial Plastic Surgery

    Background:

    • The alar rim is a critical aesthetic and functional component of the nose.
    • Existing techniques for alar rim modification may not address all related nasal deformities effectively.
    • Meyer and Kesselring previously described a technique for alar rim lowering.

    Purpose of the Study:

    • To present an expanded application of the Meyer and Kesselring technique for alar rim lowering.
    • To address various nasal deformities including high-arched nostrils, asymmetrical nostrils, the Mestizo nose, and hanging columella.
    • To provide a method for alar rim reduction without compromising total nasal length.

    Main Methods:

    • A surgical technique involving an incision parallel to the alar rim.

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  • Unfurling of the vestibular mucosa caudally.
  • Placement of a cartilage graft (septal, lower lateral, or other source) between mucosal layers.
  • Use of through-and-through sutures to secure the graft and alar rim at the desired height.
  • Main Results:

    • The technique allows for controlled lowering of the alar rim.
    • Successful application in diverse nasal deformities beyond the original indications.
    • Preservation of the overall nasal length is achieved.

    Conclusions:

    • The expanded technique offers a versatile solution for alar rim reduction in various nasal deformities.
    • This method provides predictable results for aesthetic nasal reconstruction.
    • It is a valuable addition to the surgeon's armamentarium for nasal tip refinement.