title: A new approach in open rhinoplasty: new alar rim raising technique.
abstract: BACKGROUND
  The relationship of the alar rim to the columella and its contour has great aesthetic importance, and correcting its deformities is sometimes challenging, especially if it is hanging, asymmetrical, or sigmoid--especially in the African or Asian nose.
  
  
  METHODS
  The new method of alar rim incision is described here. This new approach combines the alar rim incision and incisions necessary for external rhinoplasty (modified external approach).
  
  
  RESULTS
  All 24 patients noticed improvement and were satisfied with the results. Alar function was preserved in all cases. There were no complications, but two cases had asymmetrical alar width.
  
  
  CONCLUSIONS
  Our new incision for alar rim excision not only decreases incision lines in the limited area of the nose, resulting in decreased risk of tissue compromise, but also provides a controlled method to remove excessive skins of the rim.
authors.affiliation: Otorhinolaryngology Research Center, Department of Otolaryngology-Head and Neck Surgery, Amir-A'lam University Hospital, Tehran University of Medical Sciences, South Sa'adi Avenue, Tehran, Iran.
authors.forename: Mahmood
authors.initials: M
authors.lastname: Sadooghi
authors.forename: Ali
authors.initials: A
authors.lastname: Kouhi
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult