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Alar Lifting Technique for the Correction of Tilted Alar Base

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Abstract
Background: Frequently, a tilted alar base characterized by a discrepant level of the nostril sill and alar insertion on both sides is encountered in patients seeking rhinoplasty. Herein, we report our surgical technique and outcome of alar lifting technique for correcting tilted alar base.

Methods: The medical records of 18 patients with alar base asymmetry who underwent rhinoplasty using the alar lift technique between January 2014 and December 2019 were retrospectively reviewed. The alar lifting procedure included a pointed ellipse-shaped excision of vestibular skin just inside the nostril sill, and sutures using 5-0 monocryl. Surgical outcomes were determined on the frontal view of facial images by comparing pre- and postoperative angles formed by a line drawn parallel to the lowermost part of both pupils and a line connecting the lowermost part of the base of the ala.

Results: Of 18 patients, 12 (66.7%) were men, and 6 (33.3%) were women. The mean age was 31.8 years (range 16-55). The alar lifting technique was performed on the left side in 12 cases and on the right side in 6 cases, and concurrent tip plasty was performed in 15 (83.3%) cases. The mean alar tilt angle was 3.9 preoperatively and 2.0 postoperatively. The mean angle change was 1.9°. Sixteen (88.9%) out of 18 patients had decreased alar level discrepancy. No patient had complications.

Conclusions: Our alar lifting technique can serve as a useful adjunctive technique in rhinoplasty in patients with a tilted ala.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Author(s)
김신애배미례장용주
Issued Date
2021
Type
Article
Keyword
Alar baseAlar liftingTilted alaVertical alar level discrepancy
DOI
10.1007/s00266-021-02322-3
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8027
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2528813710&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Alar%20Lifting%20Technique%20for%20the%20Correction%20of%20Tilted%20Alar%20Base&offset=0&pcAvailability=true
Publisher
AESTHETIC PLASTIC SURGERY
Location
미국
Language
영어
ISSN
0364-216X
Citation Volume
45
Citation Number
6
Citation Start Page
2860
Citation End Page
2866
Appears in Collections:
Medicine > Medicine
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