Cachay-Velásquez H, Laguinge R E
Division of Plastic Surgery, Hospital de Clínicas "José de San Martín," Free-docent School of Medicine, Buenos Aires University, Argentina.
Ann Plast Surg. 1989 May;22(5):370-9. doi: 10.1097/00000637-198905000-00001.
Through a transfixion incision, a rhomboidal portion of both the depressor muscle of the nasal septum and the orbicular muscle of the mouth are excised. The remaining columellar tissues are brought nearer to each other by means of a mattress suture tied over a double-foam bolus. This simple procedure yields three advantages: (1) Tip projection, (2) nasolabial angle opening, (3) Interalar distance reduction, especially in the black population, avoiding the Weir-Joseph procedures. This simple and harmless procedure renders better results than the use of cartilage grafts or silicone implants aiming to project the tip or to open the nasolabial angle. Also, in some cases the patients' smile is enhanced.
通过贯穿切口，切除鼻中隔降肌和口轮匝肌的菱形部分。通过在双泡沫团块上打结的褥式缝线，使剩余的鼻小柱组织彼此靠近。这个简单的手术有三个优点：（1）鼻尖突出，（2）鼻唇角张开，（3）鼻间距缩小，特别是在黑人人群中，避免了韦尔-约瑟夫手术。这个简单且无害的手术比使用软骨移植或硅胶植入物来抬高鼻尖或张开鼻唇角能产生更好的效果。此外，在某些情况下还能改善患者的笑容。
