The surgical management of droopy nose remains problematic. Corrective techniques described in the literature may be difficult to perform or sometimes lead to unsatisfactory results. Dome sutures or grafts such as columellar strut often give good initial results but may deteriorate over time. In rhinoplasty, predictable results and stability over time are features that define a good surgical technique. Silver et al. reported the possibility of suturing the superior part of the lateral cartilages to the lower upper lateral cartilages. According to the authors, this technique, called LUCS (Lower lateral cartilage to Upper lateral Cartilage Suspension), provides good, stable results and spares cartilage. The main causes of droopy tip include inferiorly oriented alar cartilages (85%), overdeveloped scrolls of upper lateral cartilages (73%), a high anterior septal angle (65%) and thick skin at the nasal lobule (56%). The association between droopy nose and dorsal hump and overdeveloped cartilages is quite frequent in our area of France. In our department, we perform a technique we called alolateropexy that reduces and rotates the droopy tip.The purpose of this study was to describe how we perform this alolateropexy technique in droopy nose management.Technical descriptionWe performed alolateropexy in patients with a droopy nose defined by
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
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