The DOI matches its Crossref record.
Overresection of the Lower Lateral Cartilages: A Common Conceptual Mistake with Functional and Aesthetic Consequences
Abstract
Background Overresection of the lower lateral cartilages to narrow the tip in individuals with thick skin is a common mistake with functional and aesthetic consequences. The most frequent deformities are external valve dysfunction, alar retraction, alar pinch, tip asymmetry, lack of tip definition, and parrot beak deformity resulting from drooping of the tip. Methods In 82 patients who underwent revision surgery from 1998 to 2007 the lower lateral cartilages were missing. To restore function of the external nasal valve and correct aesthetic deformities it is essential to rebuild the anatomical structure. Tip deformities were analyzed pre- and postoperatively based on clinical evaluation and standardized photographs. Patient satisfaction was evaluated subjectively. Results Improvement of the poorly defined tip, the underprojected tip, the overrotated tip, and alar pinch was accomplished in all patients (100%). The function of the external nasal valve was restored in all patients (100%). The postoperative results showed a clear improvement in tip asymmetry (95.0%), tip deviation (76.5%), alar retraction (87.0%), and tip ptosis (85.7%). The average follow-up period was 13.8 months. Forty-eight patients (59.8%) rated the result as "excellent," 27 (32.9%) as "very good," 5 (6.1%) as "good," 1 as "not satisfied" (1.2%). Conclusion Overresection of the lower lateral cartilages to narrow the tip in individuals with thick skin is frequently followed by dysfunction of the external nasa…
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Overresection of the lower lateral cartilages to narrow the tip in individuals with thick skin is a common mistake with profound functional and aesthetic consequences.
“However, overresection of the LLCs to narrow the tip in individuals with thick skin is a common mistake, with profound functional and aesthetic consequences. 1,2”
From Mechanical analysis of the effects of cephalic trim on lower lateral cartilage stability (2012) · cites this paper as [2]
Common deformities from overresection of the lower lateral cartilages include external valve dysfunction, alar retraction, and bossa formation.
“Common deformities include external valve dysfunction, alar retraction, and bossa formation. 1,2”
From Mechanical analysis of the effects of cephalic trim on lower lateral cartilage stability (2012) · cites this paper as [2]
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Research works printed but not linked: 7
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- Constantian MB (1994) The incompetent external nasal valve: pathophysiology and treatment in primary and secondary rhinoplasty. Plast Reconstr Surg 93(5):919–931 · DOI
- Toriumi DM, Josen J, Weinberger M, Tardy ME Jr (1997) Use of alar batten grafts for correction of nasal valve collapse. Arch Otolaryngol Head Neck Surg 123(8):802–808 · DOI · Paper page
- Gunter JP, Rohrich RJ (1992) Correction of the pinched nasal tip with alar spreader grafts. Plast Reconstr Surg 90(5):821–829 · DOI
- Juri J, Juri C, Grilli DA, Zeaiter MC, Vasquez GD (1988) Correction of secondary nasal tip and alar and/or columellar collapse. Plast Reconstr Surg 82(1):160–165 · DOI
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Mechanical analysis of the effects of cephalic trim on lower lateral cartilage stability
Oliaei, S. (2012) · Archives of Facial Plastic Surgery · doi:10.1001/archfacial.2011.1354 · Cited by 29
Metadata
- Authors
- Gubisch, W., & Eichhorn-Sens, J.
- Affiliations
- Marienhospital Stuttgart (DE)
- Corresponding author
- Eichhorn-Sens, Jacqueline
- ORCID
- Gubisch, Wolfgang
- Venue
- Aesthetic Plastic Surgery
- Published
- 2008-11-27
- Volume
- 33
- Issue
- 1
- Pages
- 6-13
- ISSN
- 0364-216X (ISSN-L)
- 1432-5241
- OpenAlex
- W1968885824
- Cited by
- 47
- References
- 0
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Aesthetic Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Breast Implant and Reconstruction
- Keywords
- lower lateral cartilage, rhinoplasty, thick skin, alar retraction, revision rhinoplasty, patient satisfaction
- MeSH terms
- Adolescent, Adult, Aged, Ear Cartilage, Esthetics, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications, Reoperation, Retrospective Studies, Rhinoplasty, Cohort Studies, Treatment Outcome, Patient Satisfaction, Risk Assessment, Nasal Cartilages, Young Adult
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