Facial Plast Surg 2012; 28(02): 218-224
DOI: 10.1055/s-0032-1309302
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Correction of the Retracted Alar Base

William D. Losquadro
1   Mount Kisco Medical Group, Katonah, New York
,
Anthony Bared
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois
,
Dean M. Toriumi
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
06 May 2012 (online)

Abstract

Alar base retraction is a common yet difficult problem faced by the rhinoplasty surgeon. It may be caused by weakened, overresected lateral crura, vestibular lining deficiencies, or congenital alar malpositioning. Methods of correction include soft tissue manipulation, auricular composite grafting, and cartilage grafting. We present the senior author's graded approach to alar retraction using auricular composite grafting, alar rim grafting, and lateral crural strut graft placement with caudal lateral crural repositioning.

 
  • References

  • 1 Guyuron B. Alar rim deformities. Plast Reconstr Surg 2001; 107: 856-863
  • 2 Jung DH, Kwak ES, Kim HS. Correction of severe alar retraction with use of a cutaneous alar rotation flap. Plast Reconstr Surg 2009; 123: 1088-1095
  • 3 Toriumi DM, Patel AB, DeRosa J. Correcting the short nose in revision rhinoplasty. Facial Plast Surg Clin North Am 2006; 14: 343-355 , vi
  • 4 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997; 99: 943-952 ; discussion 953–955
  • 5 Naficy S, Baker SR. Lengthening the short nose. Arch Otolaryngol Head Neck Surg 1998; 124: 809-813
  • 6 Gruber RP, Kryger G, Chang D. The intercartilaginous graft for actual and potential alar retraction. Plast Reconstr Surg 2008; 121: 288e-296e
  • 7 Gunter JP, Rohrich RJ, Friedman RM. Classification and correction of alar-columellar discrepancies in rhinoplasty. Plast Reconstr Surg 1996; 97: 643-648