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Reshaping the Medial Nostril and Columellar Base: Five-Step Medial Crural Footplate Approximation

Geissler, Palmyra J. M.D.; Lee, Michael R. M.D.; Roostaeian, Jason M.D.; Unger, Jacob G. M.D.; Rohrich, Rod J. M.D.

Plastic and Reconstructive Surgery: September 2013 - Volume 132 - Issue 3 - p 553–557
doi: 10.1097/PRS.0b013e31829ad2d5
Cosmetic: Ideas and Innovations

Summary: Achieving ideal shape and position of the medial nostril and columellar base is a crucial component of successful rhinoplasty. The lateral border of the basal columella should exhibit slight concavity and a relatively smooth contour. Both nasal aesthetics and functionality may be compromised if such a result is not obtained. Herein, a reproducible technique is described which allows for treatment of this region.

Supplemental Digital Content is Available in the Text.

Dallas, Texas

Received for publication November 20, 2012; accepted January 25, 2013.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

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Rod J. Rohrich, M.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood RoadDallas, Texas 72535,

©2013American Society of Plastic Surgeons