Rhinoplasty Dissection Manual: ALAR WEDGE EXCISION

Chapter 10 - ALAR WEDGE EXCISION

If the alar development is excessive and bulbous, excision of a wedge of ala at the alar—facial junction 1 mm to 2 mm above the alar—facial crease will reduce the overall bulk iness of the alar anatomy (Fig. 3). Some medial repositioning of the alae may be effected with this maneuver. Reduction of the overall length of the alar sidewalls occurs when generous wedges are excised, ideal in the reduction of the alar flare created when correcting the overprojecting tip.

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Figure 3. Excision of a wedge of ala at the alar—facial junction 1 mm to 2 mm above the alar—facial crease will reduce the overall bulkiness of the alar anatomy. Some medial repositioning of the alae may be effected with this maneuver.

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Rhinoplasty
Dissection
Manual

Rhinoplasty Dissection
Manual Into
Contents
Foreward
Preface
Acknowledgements

Chapter 1:
Anatomy

Chapter 2:
Rhinoplasty Analysis
Landmarks for Analysis
Lab Exercise: Nasal
Analysis
Surface Angles, Planes,
and Measurment
Definitions
Rhinoplasty Analysis

Chapter 3:
Infiltrative Anesthesia
Technique

Chapter 4:
Nasal Dissection:
Septoplasty
with Cartilage Harvest

Chapter 5:
Incisions and
Approaches
Transcartilaginous or
Cartilage-Splitting
Approach
Delivery Approach
The External (Open)
Rhinoplasty Approach

Chapter 6:
Removal of Bony -
Cartilaginous Hump

Chapter 7:
Medial Osteotomies
Lateral Osteotomies and
Infracture
Intermediate
Osteotomies

Chapter 8:
Spreader Grafts

Chapter 9:
Surgery of the Tip:
Exercises

Chapter 10:
Alar Base Resection
Internal Nostril Floor
Reduction
Alar Wedge Excision
Sliding Alar Flap

Chapter 11:
Plumping Grafts
Caudal Extension Gratfs
Deviated Caudal Septum
Rib Cartilage Graft
Reconstruction of Saddle
Deformity

Chapter 12:
Harvesting Conchal
Cartilage
Harvesting Ethmoid
Bone
Harvesting Rib Graft
Harvesting Calvarial
Bone

Chapter 13:
Closure of Midcolumellar
Incision
Closure of the Marginal,
Intercaetilaginous, or
Transcartilaginous
Incision
Placement of Intranasal
Packs, Nasal Splint
Postoperative Care

Appendix A:
Tripod Concept

Appendix B:
Guide to Nasal Analysis

Appendix C:
Aesthetic Analysis

Appendix D:
Surface Angles, Planes,
and Measurement:
Definitions

Appendix E:
Tip Support, Incision,
and Approaches

Appendix F:
Achieving Surgical
Goals: Selected Options

Appendix G:
Selected Complications
of Rhinoplasty

Appendix H:
Adjunctive Procedures

Appendix I:
Cleft Lip Nasal Deformity

Appendix J:
Photography Setup

Appendix K:
Indications for External
Rhinoplasty Approach

Appendix L:
Suggested Surgical
Instruments for
Rhinoplasty

Appendix M:
List of Selected
Companies with
Addresses / Phone
Numbers

Appendix N:
Selected Recommended
Literature

Issues of the Nose

Unique Problems

Finesse Surgery

Ethnic Rhinoplasty

Research and Media

Surgery In Depth

ABFPRS and ABO
Board Certified