BACKGROUND Hyperactivity of depressor septi nasi muscle leads to smiling deformity and nasal tip depression. Lateral fascicles of this muscle help in widening the nostrils. The purpose of this study was to evaluate the relationship between the nasal length changes and the alar base and the alar flaring changes during smile. METHODS Standard photographs are performed in the face and lat...

background hyperactivity of depressor septi nasi muscle leads to smiling deformity and nasal tip depression. lateral fascicles of this muscle help in widening the nostrils. the purpose of this study was to evaluate the relationship between the nasal length changes and the alar base and the alar flaring changes during smile. methods standard photographs are performed in the face and lateral view...

OBJECTIVE The purpose of this systematic review is to evaluate the efficacy of a new modified alar base cinch suture by comparing it with the commonly used classic alar base suture after LeFort I osteotomy. STUDY DESIGN A comprehensive search strategy was performed to include interventional studies involving the comparisons of alar base suturing methods after LeFort I osteotomy. Data analyses...

BACKGROUND Hyperactivity of depressor septi nasi muscle leads to smiling deformity and nasal tip depression. Lateral fascicles of this muscle help in widening the nostrils. The purpose of this study was to evaluate the relationship between the nasal length changes and the alar base and the alar flaring changes during smile. METHODS Standard photographs are performed in the face and lateral vi...

OBJECTIVE To statistically analyze the long-term results of alar base reduction after rhinoplasty. METHODS Among a consecutive series of 100 rhinoplasty cases, 19 patients required alar base reduction. The mean (SD) follow-up time was 11 (9) months (range, 2 months to 3 years). Using preoperative and postoperative photographs, comparisons were made of the change in the base width (width of ba...

1 Koichi Ueda, MD, PhD Yuka Shigemura, MD Mai Hara, MD Takashi Nuri, MD, PhD Hiroyuki Iwanaga, MD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir: T usual choices for reconstruction of nasal alar defects are a nasolabial flap or a composite chondrocutaneous ear graft. For reconstruction of small full-thickness defects of the ala, the nasolabial...

OBJECTIVE To evaluate the role of the combined alar base excision technique in narrowing the nasal base and correcting excessive alar flare. METHODS The study included 60 cases presenting with a wide nasal base and excessive alar flaring. The surgical procedure combined an external alar wedge resection with an internal vestibular floor excision. All cases were followed up for a mean of 32 (ra...

OBJECTIVES To simplify the approach and diagnosis of alar base reduction, suggest a treatment algorithm, and evaluate the long-term outcomes of 3 different techniques used separately or in conjunction with one another. DESIGN Retrospective review of 124 patients seen in a private practice by a single surgeon. Patients ranged in age from 15 to 59 years (mean age, 30.4 years). Patients were und...