eMedicine Specialties > Plastic Surgery > Nose
Rhinoplasty, Alar Cartilage Resection: Follow-up
Updated: May 1, 2008
Outcome and Prognosis
The desired outcome of a well-performed rhinoplasty is a satisfied patient. This operation has a steep learning curve. The recently trained surgeon is best advised to approach it as such; he or she should try not to do too much too soon. A poor aesthetic result becomes a surgical nightmare to revise.
Future and Controversies
The only controversy that remains in the forefront is the argument over an open approach versus a closed approach. Each has advantages and disadvantages. Each surgeon must individualize the operation for the particular patient. Only through meaningful discussion with the patient and apprising him or her of the risks and benefits of each technique can a true resolution of this conflict be achieved.
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Follow-up: Rhinoplasty, Alar Cartilage Resection |
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References
Sheen JH. Middle Crus: The Missing Link in Alar Cartilage Anatomy. Perspectives in Plastic Surgery. 1991;5:31-53.
Tebbetts JB. Primary Rhinoplasty. In: A New Approach to the Logic and the Techniques. Mosby; 1998.
Zide BM, Swift R. How to block and tackle the face. Plast Reconstr Surg. Mar 1998;101(3):840-51. [Medline].
Rudolph Meyer, M.D., Ulrich K. Kesselring, M.D. Sculpturing and Reconstructive Procedures in Aesthetic and Functional Rhinoplasty. Clinics in Plastic Surgery. 1977;4:15-22.
Yavuzer R, Jackson IT. Nasal packing in rhinoplasty and septorhinoplasty: it is wiser to avoid. Plast Reconstr Surg. Mar 1999;103(3):1081-2. [Medline].
Tardy ME Jr, Cheng EY, Jernstrom V. Misadventures in nasal tip surgery. Analysis and repair. Otolaryngol Clin North Am. Nov 1987;20(4):797-823. [Medline].
Hatzis GP, Sherry SD, Hogan GM, Finn RA. Observations of the marginal incision and lateral crura alar cartilage asymmetry in rhinoplasty: a fixed cadaver study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Apr 2004;97(4):432-7. [Medline].
Johnson CM, Toriumi DM. Open Structure Rhinoplasty. W B Saunders Co; 1990.
Suzuki S, Muneuchi G, Kawai K, Naitoh M. Correction of atrophic nasal ala by sandwiching an auricular cartilage graft between para-alar and nasal floor retrogressive flaps. Ann Plast Surg. Nov 2003;51(5):513-6. [Medline].
Further Reading
Keywords
Rhinoplasty, alar cartilage resection, cartilage resection, nasal cartilage resection, lateral nasal cartilage, cleft-lip rhinoplasty, open rhinoplasty, closed rhinoplasty, open technique, closed technique, columellar incision, alar cartilage, alar resection, dorsal hump, nasal surgery, nose job, lower alar cartilage, twisted alar cartilage, tip-dorsum relationship, Tebbetts, nasal deformity, septal cartilage graft, small wedge resection, medial crura, lateral crura, middle crus, columellar-lobular junction, lateral crus, ala, interdomal ligament, anterior septal angle complex, soft triangle, internal approach, external approach, alar wedge resection, intranasal incision, columellar external incision, cartilage splitting incision, cartilage delivery approach, cartilage splitting, cartilage delivery
Follow-up: Rhinoplasty, Alar Cartilage Resection