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Journal archive · Nasal tip · 2019

FPS Clin Facial Plastic Surgery Clinics of North America · 2019

Postsurgical Alar Retraction: Etiology and Treatment

Kao WTK, Davis RE.

In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on alar rim grafts.

PubMed 31587768Publisher (DOI)

From the abstract

“The cephalic trim technique is a popular maneuver that often leads to tip deformities, most notably postsurgical alar retraction (PSAR). We advocate using the external rhinoplasty approach to correct PSAR by (1) releasing and repositioning the retracted alar margin, (2) strengthening and immobilizing the central tip…”

Excerpt; the full abstract is on PubMed.

Citation

PubMed
31587768
Journal
Facial Plastic Surgery Clinics of North America
Year
2019
Authors
2
Type
Journal Article, Review
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Excerpt

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What the rhinoplasty literature says on this paper's topic, cited line by line to PubMed.

289

Nasal tip

Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.

Read the synthesis

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