The sail excision technique: A modified alar lift procedure for Southeast Asians noses.
- Author:
Baladiang Dennis Eusebio A
;
Olveda Mildred B
;
Yap Eduardo C
- Publication Type:Journal Article
- MeSH:
Human;
Female;
Adult;
General Surgery;
DAMINOZIDE;
NOSE;
Cosmetic Techniques;
Documentation;
diagnosis;
rhinoplasty
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2010;25(1):31-37
- CountryPhilippines
- Language:English
-
Abstract:
p style=text-align: justify;strongOBJECTIVE:/strong To describe a new sail shaped excision technique for alar lift surgery and present the outcome of this technique through photo documentation. br /br /strongMETHODS:/strongbr /strongDesign:/strong Surgical Innovation; Case series br /strongSetting:/strong Tertiary Government Hospital br /strongParticipants:/strong Four patients underwent alar rim lift procedure using sail excision technique performed by the senior co-author. The indication for sail excision technique was a hanging ala (type IV) based on the classification of alar-columellar discrepancies by Gunter emet al/em. The outcomes were described with comparison of pre-operative and post-operative photographs.br /br /strongRESULTS:/strong Post-operative improvement of the alar-columellar relationship and counter-rotation of the tip, the gull's wing in flight was further enhanced. There were no scar contracture or vestibular stenosis, and scars were aesthetically acceptable.br /br /strongCONCLUSION: /strongAlar lift surgery demands an accurate diagnosis and analysis of the alar-columellar discrepancies. In Southeast Asian noses, unlike Caucasian noses, the most common indication for alar surgery are wide and overhanging ala. Our proposed technique is an easy and safe method of correcting alar overhang. This procedure with its advantages represents a new, reliable and simple way of achieving predictable results in many rhinoplasty cases./p
