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Vertical Alar Folding (VAF): A Useful Technique for Correction of Long and Concave Lateral Crura in Rhinoplasty
- Source :
- Aesthetic Plastic Surgery. 43:1269-1278
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- The tripod theory explains the dynamics of the nasal tip, where surgery is difficult because of anatomic variations and pathologies and the various surgical possibilities. Abnormalities or weaknesses of the lateral crura can result in concavity in ala or alar collapse and cause aesthetic and functional impairments of the nose. Several tip plasty techniques and lateral crura modifications are used in rhinoplasty. To describe the vertical alar folding (VAF) technique for making modifications in the lateral crura (LC) and rotation of the tip. Included in the study were 83 patients (59 women, 24 men) undergoing rhinoplasty using VAF with the senior author as surgeon between 2013 and 2018. The mean age was 26.3 years (range 18–47). Mean postoperative follow-up period was 26.7 months (range 12–64). Patients who completed the 1-year postoperative period completed the rhinoplasty outcome evaluation (ROE) questionnaire. Outcome measures were performed at examinations, and preoperative and postoperative photographs of the patients were analyzed. In the span of 5 years, no revision surgery was required for technique-specific reasons. In patients who had a droopy or asymmetric tip or long and concave lateral crura, we saw remarkable functional and aesthetic improvements with VAF. According to the ROE questionnaire, 90.3% (75 out of 83) of the patients were content with the aesthetic and functional results. VAF is a useful and effective method for modifying the LC and tip of the nose. VAF allowed for controlling the rotation and projection of the tip, changing the length of the lateral crus and nose with durability and smooth, symmetric contours, and correcting concavity of a lateral crus for better functioning and aesthetics. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
Databases, Factual
Esthetics
medicine.medical_treatment
030230 surgery
Rhinoplasty
Young Adult
030207 dermatology & venereal diseases
03 medical and health sciences
Imaging, Three-Dimensional
0302 clinical medicine
Nasal Cartilages
Preoperative Care
medicine
Humans
Pain Management
In patient
Nose
Nasal Septum
Retrospective Studies
Postoperative Care
Orthodontics
Wound Healing
business.industry
Suture Techniques
Outcome measures
Middle Aged
Nasal tip
Plastic surgery
Treatment Outcome
Alar collapse
medicine.anatomical_structure
Otorhinolaryngology
Female
Surgery
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 14325241 and 0364216X
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Aesthetic Plastic Surgery
- Accession number :
- edsair.doi.dedup.....fefa15307ef0d1110f4626c8ee2d8975