http://www.rhinoplastyspecialist.com Enter the operating room and see first-hand how nose surgery is performed and learn about each specific procedure with Beverly Hills Rhinoplasty Specialist Dr. Paul S. Nassif, a distinguished facial plastic and reconstructive surgeon internationally known for his innovative surgical techniques and expertise in revision & ethnic rhinoplasty. In this video you'll discover how alar base reduction is used to narrow a nose that is too wide at the bottom. The procedure involves the removal of a portion of the nostril at the base of the nose. The strategically placed incisions at the base of the nose are then meticulously sutured so that any scarring imperceptible. Watch the experience of the patient who underwent this and many other procedures during her ethnic, or westernization, rhinoplasty at... http://www.youtube.com/watch?v=QobQdRapPfs This is something covered in the ethnic rhinoplasty section, http://www.rhinoplastyspecialist.com/ethrhino.asp ; however, there are a few ways to perform alar base reductions. One is a simple nasal sill incision where the incisions are made inside the nostril. This reduces the bulk of the rhinoplasty versus the nostrils or alar, which are extremely wide such as in African, American, or Asian individuals. With them, excisions inside the nostrils can help recontour the alar and make it more narrow. Weir incisions are another name for this type of reduction. Sometimes the combination of Weir incisions and nasal sill incisions can be done simultaneously to decrease the width of the nose. The risk of nostril asymmetry following alar base reduction is possible. However, sometimes the nostril asymmetry is present prior to surgery. Dr. Nassif's practice, Spalding Drive Cosmetic Surgery, is located in Beverly Hills, CA. http://www.spaldingplasticsurgery.com OPERATIVE TECHNIQUE: 3.5 mm alar resections were drawn and a Sheen type I alar resection (cutaneous) was performed after infiltration of the ala with local. An 11 blade was used to make the inferior incision extending medially along the alar base and culminating lateral to the nasal sill. 5-0 vicryl subcutaneous sutures were place followed by skin running sutures using 6-0 prolene. African American Nasal Anatomy Skin: Thick, Abundant Fibrofatty tissue Radix: Deep, Inferiorly-Set & Low Nasal Bridge & Dorsum: Short Nasal Bones, Wide & Flat Tip: Bulbous, Thick-Skinned, Under-Projected, Derotated (Ptotic), Abundant Nasal Soft Tissue, Broad Domes, Minimal Definition Base: Wide, Thick, Horizontal & Flaring Nostrils Nasolabial Junction: Retracted, Acute Nasolabial Angle Maxilla: Usually Retrusive & Hypoplastic Hispanic Nasal Anatomy Skin: Thick, Abundant Sebaceous Glands Radix: Low to Normal Nasal Bridge: Wide Dorsum: Convex (Nasal Hump) Tip: Bulbous, Thick-Skinned, Under-Projected, Occasionally Derotated to Normal, Abundant Nasal Soft Tissue, Broad Wide Domes, Minimal Definition Columella: Short to Normal Base: Wide, Thick, Horizontal & Flaring Nostrils Nasolabial Junction: Retracted & Acute Nasolabial Angle Maxilla: Within Normal Limits Asian Nasal Anatomy Skin: Heavy, Thick & Sebaceous Radix: Deep & Flat Nasal Bridge & Dorsum: Low, Wide & Flat Tip: Bulbous, Thick-Skinned, Under-Projected, Ptotic, Abundant Fibrofatty Tissue, Broad Domes, Minimal Definition Columella: Short, Minimal Show (Retracted) Base: Wide, Thick, Oblique & Flaring Nostrils Maxilla: Usually Retrusive http://www.spaldingcosmeticsurgery.com

• published: 13 Feb 2009
• views: 442583