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抄 録プ ロ ６グ 月 土 ラ６ ム日 ︵ ６日 ︵︶ 土︶ ７日︵日︶ Room B3-6 シンポジウム Ⅰ Symposium Ⅰ Techniques for Alar Modifications JUNG Dong -hak, MD, PhD【Shimmian Rhinoplasty Clinic】 ■Abstract■ A Weir(1892)was the first who mentioned Alar Base Surgery. This type of surgery is not that popular among Westerns but B and wide. C an ideal size that maintains the continuation of the nostril. The amount of the incision of the exterior and interior of the Room Room rather among African-Americans and Asians; it's a method to reduce the nares if it is too big or if the base is way too flat One thing to be aware about when carrying out Alar Base Surgery is when incising the nostril sill; the incision should be 特別講演 シンポジウム 一般演題 nostril and whether the base needs to be incised depends on the shape of the nostril. Simply the nostril appearances can be devided by three types in terms of alar base surgery which is bigger alar rim, wide nostril base and mixed one. It is better to perform the alar base surgery follows the types. Alar base surgery can be carried out simply by local anesthesia or IV anesthesia. Since width of the base will decrease as it is pulled up when the nasal bridge and the tip gets augmented; and as the size of the nose increases the alar base will appear smaller so it is necessary to plan ahead the incision amount depending on the nose because the nose tends to look relatively wide when it's flat and small. The incision line should be made 1mm above the alar base groove because if it's incised following the alar base line, not only the suture gets complex but the scar will be too exposed. The shape of the alar base varies depending on the race. However, the incision of the alar base can be divided into two main methods. First case is big alar rim and the second is the wide nares floor. There are special alar base surgery techniques those are one side alar resection for correction of nostril asymmetry, just cut outside of alr base for correction of wide alar and small nostril sizes and thinning of alar rim etc. Alar Base Surgery is a powerful tool that should be mastered as an adjunt to rhinoplasty to achieve a more aesthetic outcome.
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