Medscape is available in 5 Language Editions – Choose your Edition here.


Alar Cartilage Resection Rhinoplasty Workup

  • Author: Carl H Manstein, MD, MBA, CPE; Chief Editor: Mark S Granick, MD, FACS  more...
Updated: Dec 18, 2013

Laboratory Studies

No laboratory studies are necessary.


Imaging Studies

Take complete facial photographs of rhinoplasty patients preoperatively and postoperatively. Include front, profile, oblique, and "worm's eye" views. Many surgeons like to bring these photographs into the operating room as a reference guide.

Computer imaging is a new technology that is probably of more value as a marketing tool than as a serious learning device for the surgeon. Making hypothetical changes to the nose using the computer usually remains just hypothetical.


Other Tests

Other than routine preanesthetic evaluation, no tests are necessary.


Diagnostic Procedures

Most surgeons do not bother with nasal endoscopy when concentrating on the alar cartilages. A good direct visual examination with a nasal speculum and headlight usually is sufficient to determine most intranasal abnormalities.

Contributor Information and Disclosures

Carl H Manstein, MD, MBA, CPE Private Practice

Carl H Manstein, MD, MBA, CPE is a member of the following medical societies: Pennsylvania Medical Society, Sigma Xi, American Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

George Peck, MD 

George Peck, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery

Disclosure: Nothing to disclose.

Chief Editor

Mark S Granick, MD, FACS Professor of Surgery, Chief, Division of Plastic Surgery, Rutgers New Jersey Medical School

Mark S Granick, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society of Plastic Surgeons, Phi Beta Kappa, Northeastern Society of Plastic Surgeons, New Jersey Society of Plastic Surgeons

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: Waterjel, Inc.; Reconstat, LLC; DSM<br/>Serve(d) as a speaker or a member of a speakers bureau for: Novadaq<br/>Received none from Waterjel Inc. for board membership; Received none from Reconstat LLC for board membership; Received none from Open Science Co., LLC for board membership.

Additional Contributors

Frederick J Menick, MD Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Facial and Nasal Reconstructive Surgeon, Tucson, Arizona

Frederick J Menick, MD is a member of the following medical societies: American Society of Maxillofacial Surgeons, Canadian Society of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons

Disclosure: Nothing to disclose.

  1. Sheen JH. Middle Crus: The Missing Link in Alar Cartilage Anatomy. Perspectives in Plastic Surgery. 1991. 5:31-53.

  2. Tebbetts JB. Primary Rhinoplasty. A New Approach to the Logic and the Techniques. Mosby; 1998.

  3. Zide BM, Swift R. How to block and tackle the face. Plast Reconstr Surg. 1998 Mar. 101(3):840-51. [Medline].

  4. 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.

  5. Yavuzer R, Jackson IT. Nasal packing in rhinoplasty and septorhinoplasty: it is wiser to avoid. Plast Reconstr Surg. 1999 Mar. 103(3):1081-2. [Medline].

  6. Rohrich RJ, Raniere J Jr, Ha RY. The alar contour graft: correction and prevention of alar rim deformities in rhinoplasty. Plast Reconstr Surg. 2002 Jun. 109(7):2495-505; discussion 2506-8. [Medline].

  7. Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg. 1997 Apr. 99(4):943-52; discussion 953-5. [Medline].

  8. Tardy ME Jr, Cheng EY, Jernstrom V. Misadventures in nasal tip surgery. Analysis and repair. Otolaryngol Clin North Am. 1987 Nov. 20(4):797-823. [Medline].

  9. Kosins AM, Daniel RK, Sajjadian A, Helms J. Rhinoplasty: congenital deficiencies of the alar cartilage. Aesthet Surg J. 2013 Aug 1. 33(6):799-808. [Medline].

  10. Alexander AJ, Shah AR, Constantinides MS. Alar retraction: etiology, treatment, and prevention. JAMA Facial Plast Surg. 2013 Jul-Aug. 15(4):268-74. [Medline].

  11. 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. 2004 Apr. 97(4):432-7. [Medline].

  12. Johnson CM, Toriumi DM. Open Structure Rhinoplasty. W B Saunders Co; 1990.

  13. 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. 2003 Nov. 51(5):513-6. [Medline].

Alar cartilage resection.
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.