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Bilateral Alar Hanging Correction with Modified Arrow Tip Technique: 4 Years Experience
Kritsada Kowitwibool1, Jaedsiree Thanakitcharu2, Thanapat Supakmontri3
1Chulalongkorn University, Department of Otolaryngology-Head and Neck Surgery, Thailand, Bangkok.
Aim And Background:
Hanging alar deformity is an excessive caudal projection of the alar rim found particularly among Asians. In this review, we conducted a retrospective photographic analysis of cases that underwent alar hanging correction using the modified arrow tip technique.
Historical Aspects:
Numerous techniques have been developed to address this deformity. However, these methods have their pros and cons in terms of precision and postoperative care.
Patient Selection:
One hundred thirty-eight patients undergoing modified arrow tip correction at a private clinic in Bangkok, Thailand, from January 2022 to October 2025 were included.
Techniques:
The technique relies on a partial-thickness excision. The mean frontal height decreased from 15.15 ± 1.87 to 13.21 ± 1.63 mm (-11.80 ± 10.77%). The lateral height reduced from 16.18 ± 1.93 mm to 13.88 ± 1.69 mm (-13.26 ± 9.49%). Differences between views were statistically significant. Scarring and asymmetry were found in 10.14 and 1.45%, respectively.
Current And Future Development:
Effectiveness in broader patient populations and the potential benefits of combining with complementary procedures should be explored in broader populations.
Conclusion And Clinical Relevance:
Modified arrow tip technique is safe, effective, and reproducible for addressing hanging alar deformity with minimal complications.
