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
Mount Kisco Medical Group, Katonah, New York
,
Anthony Bared
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois
,
Dean M. Toriumi
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.