Treatment of the Negroid nose without nasal alar excision: a personal technique.

A new procedure is used for surgery of the Negroid nose. It is based on the elevation of the columella, rebuilding the nose tip and the nostril entrance, and bialar diameter reduction, leaving no external scars. The technique requires an almost all subperiosteal undermining of the soft tissues of the mid-one-third of the facial level. This procedure is performed through the Caldwell-Luck incision. Special stitches are placed on the bialar line and the columella, narrowing the nose base to the desired dimensions. No recurrency has been observed in all the patients who underwent surgery.