J Cosmet Med.  2021 Jun;5(1):49-52. 10.25056/JCM.2021.5.1.49.

Correction of nostril show

• Cho SI
• Oh J
• Choi JY

• KMID: 2561113
• DOI: http://doi.org/10.25056/JCM.2021.5.1.49

Abstract

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.

Keyword

correction; nostril; retraction; rhinoplasty