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Indications for Use of the Subalar Graft

Francisca Yao, MD; William Lawson, MD, DDS; Richard W. Westreich, MD

Arch Facial Plast Surg. 2009;11(3):157-164.

Objective  To test the hypothesis that midfacial asymmetry specifically relevant to nasal tip deviation will be reflected in the measured soft-tissue attachments of the ala to the face.

Design  Retrospective photographic analysis of 35 consecutive patients seeking functional or aesthetic nasal surgery regardless of cause.

Results  Nasal axis had a significant correlation with the alar-facial angle on base view photographs (P < .001) irrespective of cause (traumatic vs congenital). However, there was no significant correlation between alar facial angle on anteroposterior view (frontal) with nasal axis and no correlation between frontal and basal angles.

Conclusion  Soft-tissue analysis demonstrates a relationship between nasal axis deviation and lower midfacial asymmetry or hypoplasia.

Author Affiliations: Department of Otolaryngology, State University of New York, Downstate Medical Center, Brooklyn (Drs Yao and Westreich); and Department of Otolaryngology, Mount Sinai Medical Center, New York, New York (Dr Lawson).