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Versatile vertical alar resection technique for positioning of the nasal tip
Erkan Soylu1, Alper Yenigun2, Orhan Ozturan2
1Medipol University, Faculty of Medicine, Department of Otorhinolaryngology, Bagcilar, Istanbul, Turkey.
American Journal of Otolaryngology
|July 26, 2024
Summary
The versatile vertical alar resection (V-VAR) technique effectively adjusts nasal tip projection and rotation in rhinoplasty. This modification allows surgeons to achieve desired aesthetic outcomes for highly projected nasal tips.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
- Rhinoplasty Techniques
Background:
- Harmonious adjustment of nasal tip rotation and projection is crucial for aesthetic rhinoplasty outcomes.
- Balancing the nasal tip with the nasal dorsum and overall facial structure is key.
Purpose of the Study:
- To introduce and describe a novel modification of the vertical alar resection technique.
- To demonstrate the efficacy of this technique in regulating nasal tip projection and rotation.
Main Methods:
- The versatile vertical alar resection (V-VAR) technique was applied to 23 rhinoplasty cases (14 primary, 9 revision) with high tip projection.
- The technique involves specific resection from the medial and/or lateral crus of the alar dome based on initial tip rotation and projection.
- Patients were followed for an average of 18 months.
Main Results:
- The V-VAR technique successfully achieved the desired nasal tip rotation and projection in all treated patients.
- All patients reported satisfactory aesthetic results following the procedure.
Conclusions:
- The V-VAR technique provides a method to reduce the height of highly projected nasal tips.
- This technique allows for precise control over nasal tip rotation, enabling surgeons to meet specific aesthetic goals.
