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  • Title: A new approach in open rhinoplasty: new alar rim raising technique.
    Author: Sadooghi M, Kouhi A.
    Journal: J Otolaryngol Head Neck Surg; 2011 Feb; 40(1):54-7. PubMed ID: 21303602.
    Abstract:
    BACKGROUND: The relationship of the alar rim to the columella and its contour has great aesthetic importance, and correcting its deformities is sometimes challenging, especially if it is hanging, asymmetrical, or sigmoid--especially in the African or Asian nose. METHODS: The new method of alar rim incision is described here. This new approach combines the alar rim incision and incisions necessary for external rhinoplasty (modified external approach). RESULTS: All 24 patients noticed improvement and were satisfied with the results. Alar function was preserved in all cases. There were no complications, but two cases had asymmetrical alar width. CONCLUSION: Our new incision for alar rim excision not only decreases incision lines in the limited area of the nose, resulting in decreased risk of tissue compromise, but also provides a controlled method to remove excessive skins of the rim.
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