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Simultaneous Correction of Hanging Columella and Alar Rim Retraction Using a Columellar Lateral Wall Composite
Lei Wen1, Xinyi Deng, Linjing Wang
1Department of Plastic and Aesthetic Surgery, Yestar (Shenzhen) Medical Aesthetics Hospital, The Third People's Hospital of Shenzhen, Futian District, Shenzhen, Guangdong, People's Republic of China.
The Journal of Craniofacial Surgery
|July 31, 2026
Summary
This study shows a new surgical technique is effective for correcting both hanging columella and alar rim retraction simultaneously. The columellar lateral wall composite pedicle flap offers a feasible solution for these nasal deformities.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Rhinoplasty
Background:
- Hanging columella and alar rim retraction are common nasal deformities.
- Simultaneous correction can be challenging.
- Existing techniques may have limitations.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of a columellar lateral wall composite pedicle flap.
- To assess its ability to correct both hanging columella and alar rim retraction concurrently.
Main Methods:
- A novel surgical technique was developed using a columellar lateral wall composite pedicle flap.
- The flap was designed, everted, and inset to the lower lateral cartilage incision margin.
Main Results:
- The technique successfully corrected both hanging columella and alar rim retraction.
- Satisfactory aesthetic and functional outcomes were achieved.
Conclusions:
- The columellar lateral wall composite pedicle flap is a feasible and effective surgical option.
- This technique allows for simultaneous correction of hanging columella and alar rim retraction.
- It represents a valuable advancement in nasal reconstructive surgery.
