Download PDF
Semin Plast Surg 2015; 29(04): 278-285
DOI: 10.1055/s-0035-1566111
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Correction of Alar Retraction Based on Frontal Classification

Jae Hoon Kim
1   April 31 Plastic Surgery Clinic, Seoul, Korea
,
Jin Woo Song
1   April 31 Plastic Surgery Clinic, Seoul, Korea
,
Sung Wan Park
1   April 31 Plastic Surgery Clinic, Seoul, Korea
,
Erica Bartlett
1   April 31 Plastic Surgery Clinic, Seoul, Korea
,
Anh H. Nguyen
2   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
23 November 2015 (online)

    Permissions and Reprints

Abstract

Among the various types of alar deformations in Asians, alar retraction not only has the highest occurrence rate, but is also very complicated to treat because the ala is supported only by cartilage and its soft tissue envelope cannot be easily stretched. As patients' knowledge of aesthetic procedures is becoming more extensive due to increased information dissemination through various media, doctors must give more accurate, logical explanations of the procedures to be performed and their anticipated results, with an emphasis on relevant anatomical features, accurate diagnoses, detailed classifications, and various appropriate methods of surgery.

Keywords

alar retraction - alar spreader graft - cartilage graft - nasal hinge
 

  • References

  • 1 Gunter JP, Rohrich RJ, Friedman RM. Classification and correction of alar-columellar discrepancies in rhinoplasty. Plast Reconstr Surg 1996; 97 (3) 643-648
    CrossrefPubMedGoogle Scholar
  • 2 Kim JH, Park SW, Oh WS, Lee JH. New classification for correction of alar retraction using the alar spreader graft. Aesthetic Plast Surg 2012; 36 (4) 832-841
    CrossrefPubMedGoogle Scholar
  • 3 Rohrich RJ, Raniere Jr J, Ha RY. The alar contour graft: correction and prevention of alar rim deformities in rhinoplasty. Plast Reconstr Surg 2002; 109 (7) 2495-2505 , discussion 2506–2508
    CrossrefPubMedGoogle Scholar
  • 4 Sheen JH. Aesthetic rhinoplasty. St. Louis, MO: CV Mosby; 1987: 264-265
    Google Scholar
  • 5 Tebbetts JB. Alar spreader or lateral crural spanning graft? Some additional observations. Plast Reconstr Surg 1993; 92 (2) 366-368
    PubMedGoogle Scholar
  • 6 Gunter JP, Rohrich RJ. Correction of the pinched nasal tip with alar spreader grafts. Plast Reconstr Surg 1992; 90 (5) 821-829
    CrossrefPubMedGoogle Scholar
  • 7 Kim JH, Song JW, Park SW, Oh WS, Lee JH. Tip extension suture: a new tool tailored for Asian rhinoplasty. Plast Reconstr Surg 2014; 134 (5) 907-916
    CrossrefPubMedGoogle Scholar
  • 8 Rohrich RJ, Hoxworth RE, Thornton JF, Pessa JE. The pyriform ligament. Plast Reconstr Surg 2008; 121 (1) 277-281
    CrossrefPubMedGoogle Scholar
  • 9 Adamson PA, Morrow TA. The nasal hinge. Otolaryngol Head Neck Surg 1994; 111 (3 Pt 1): 219-231
    CrossrefPubMedGoogle Scholar
  • 10 Han SK, Ko HW, Lee DY, Kim WK. The effect of releasing tip-supporting structures in short-nose correction. Ann Plast Surg 2005; 54 (4) 375-378
    CrossrefPubMedGoogle Scholar
  • 11 Kim JH, Oh WS, Park SW, Kim KH. Various surgical procedures in the scale of upturned nose. J Korean Soc Aesthetic Plast Surg 2010; 16 (1) 21-34
    PubMedGoogle Scholar
  • 12 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 1997; 99 (4) 943-952 , discussion 953–955
    CrossrefPubMedGoogle Scholar
  • 13 Kim HS, Roh SG. The alar extension graft for retracted ala. J Korean Soc Plast Reconstr Surg 2009; 36 (1) 66-74
    PubMedGoogle Scholar
  • 14 Hirohi T, Yoshimura K. Surgical correction of retracted nostril rim with auricular composite grafts and anchoring suspention. Aesthetic Plast Surg 2003; 27 (5) 418-422
    CrossrefPubMedGoogle Scholar
  • 15 Constantian MB. Indications and use of composite grafts in 100 consecutive secondary and tertiary rhinoplasty patients: introduction of the axial orientation. Plast Reconstr Surg 2002; 110 (4) 1116-1133
    CrossrefPubMedGoogle Scholar
  • 16 Kamer FM, McQuown SA. Minicomposite graft for nasal alar revision. Arch Otolaryngol Head Neck Surg 1987; 113 (9) 943-949
    CrossrefPubMedGoogle Scholar
  • 17 Sclafani AP. Rhinoplasty: The experts' reference. In: Losquadro WD, Bared A, Toriumi DM, eds. Correction of the Retracted Alar Base. New York: Thieme Medical Publishers; 2015: 345-351
    Google Scholar
  • 18 Gruber RP, Kryger G, Chang D. The intercartilaginous graft for actual and potential alar retraction. Plast Reconstr Surg 2008; 121 (5) 288e-296e
    CrossrefPubMedGoogle Scholar