J Cosmet Med 2021; 5(1): 49-52
Published online June 30, 2021
Sung Il Cho , MD, PhD , Junghyun Oh , MD, PhD , Ji Yun Choi , MD, PhD
Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Rep. of Korea
Correspondence to :
Ji Yun Choi
E-mail: happyent@naver.com
© Korean Society of Korean Cosmetic Surgery & Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A majority of alar rim deformity cases arises from the procedural complications of rhinoplasty. However, an increasing interest in the aesthetic aspects of alar rim deformity has led patients with congenitally retracted or hanging alae to seek revision surgeries. Alar retraction is predominantly caused by an excessive cephalic orientation or overmedialization of the lower lateral cartilage and a lack of soft tissue around the alar rim. The aim of this article is to present the case of a 59-year-old female patient with retracted alae from cephalically malpositioned lower lateral cartilages. We addressed these by using an external rhinoplasty approach to separate lower lateral cartilage from the surrounding tissues and apply an alar spreader graft and intergrated lateral crural strut graft to effectively correct the nostril show without any significant adverse effects.
Keywords: correction, nostril, retraction, rhinoplasty
J Cosmet Med 2021; 5(1): 49-52
Published online June 30, 2021 https://doi.org/10.25056/JCM.2021.5.1.49
Copyright © Korean Society of Korean Cosmetic Surgery & Medicine.
Sung Il Cho , MD, PhD , Junghyun Oh , MD, PhD , Ji Yun Choi , MD, PhD
Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Rep. of Korea
Correspondence to:Ji Yun Choi
E-mail: happyent@naver.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
A majority of alar rim deformity cases arises from the procedural complications of rhinoplasty. However, an increasing interest in the aesthetic aspects of alar rim deformity has led patients with congenitally retracted or hanging alae to seek revision surgeries. Alar retraction is predominantly caused by an excessive cephalic orientation or overmedialization of the lower lateral cartilage and a lack of soft tissue around the alar rim. The aim of this article is to present the case of a 59-year-old female patient with retracted alae from cephalically malpositioned lower lateral cartilages. We addressed these by using an external rhinoplasty approach to separate lower lateral cartilage from the surrounding tissues and apply an alar spreader graft and intergrated lateral crural strut graft to effectively correct the nostril show without any significant adverse effects.
Keywords: correction, nostril, retraction, rhinoplasty
Ji-Woong Cho, MD, Hye Jeen Kim, MD, Do-Yoon Jeong, MD, Ibrahim AlQuniabut, MD, Ji Yun Choi, MD, PhD
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