Journal archive · Nasal tip · Anatomy and nasal analysis · 2026
Quantitative Analysis of Tissue Excision and Alar Base Reduction in Combined Sill and Alar Excision
Chen J, Zhang F, Li C, Wang H, Weng X, Li N, Zhang T.
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 base modification.
From the abstract
“Insufficient narrowing often occurs after alar base reduction due to inadequate tissue resection. This study quantitatively analyzes the relationship between excised tissue amount and postoperative narrowing in combined sill and alar excision. Methods: 268 Asian patients met inclusion criteria, including 12 males and…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
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.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
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