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The Aberrant Alar-Columellar Relationship

Classification and Correction

Rohrich, Rod J. MD; Afrooz, Paul N. MD

Plastic and Reconstructive Surgery: May 6, 2019 - Volume PRS Online First - Issue - p
doi: 10.1097/PRS.0000000000005835
Special Topic: PDF Only

The alar-columellar relationship (ACR) has tremendous aesthetic significance in the lower one-third of the nose. Aberrancies in the ACR detract from nasal aesthetics, and are classified into 6 types: Type I, hanging columella; Type II, retracted ala; Type III, combination of a hanging columella and retracted ala; Type IV, hanging ala; Type V, retracted columella, and Type VI, combination of a hanging ala and retracted columella. This article describes the methods for proper evaluation and diagnosis of aberrancies in the ACR, as well as current strategies to restore the ideal ACR.

1. Dallas Plastic Surgery Institute, Dallas, TX

2. Institute of Aesthetic Medicine, Miami, FL

FD - Rod J. Rohrich, MD receives instrument royalties from Eriem Surgical, Inc and book royalties from Thieme Medical Publishing, he is a Clinical and Research Study Expert for Allergan Inc, Galderma, and MTF Biologics, and the owner of Medical Seminars of Texas, LLC. No funding was received for this article.

©2019American Society of Plastic Surgeons