{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T22:28:09Z","timestamp":1777760889929,"version":"3.51.4"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The alar-columellar relationship was crucial for aesthetic evaluation of the lower nasal area, with alar retraction being a common and challenging deformity in Asian rhinoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to evaluate the effectiveness of articulated alar rim graft (AARG) combined with V-Y advancement in correcting alar retraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 25 patients (48 sides of alae) who underwent revision rhinoplasty using AARG combined with V-Y advancement between September 2021 and June 2022. Postoperative photograph was used to follow-up with the patients. The distance from the alar rim to the nostril axis was measured preoperatively and postoperatively to assess the correction effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow-up period was 8 months. The preoperative distance from the alar rim to the nostril axis averaged 3.4 mm, reduced to 1.5 mm postoperatively. The average reduction was 1.9 mm. Most patients exhibited natural soft tissue contours postoperatively, with no significant graft-related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The combination of AARG and V-Y advancement is effective in correcting alar retraction, maintaining aesthetic nasal contours, and preventing long-term alar deformities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence IV<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors \u00a0\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-025-05506-3","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T13:33:54Z","timestamp":1765892034000},"page":"2962-2969","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Correction of Alar Retraction by Articulated Alar Rim Graft Combined with V-Y Advancement"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9515-5796","authenticated-orcid":false,"given":"Linglong","family":"Zhan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuming","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"5506_CR1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199603000-00026","volume":"97","author":"JP Gunter","year":"1996","unstructured":"Gunter JP, Rohrich RJ, Friedman RM. Classification and correction of alar-columellar discrepancies in rhinoplasty. Plast Reconstr Surg. 1996;97:643.","journal-title":"Plast Reconstr Surg"},{"key":"5506_CR2","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1007\/s00266-003-3091-1","volume":"27","author":"T Hirohi","year":"2003","unstructured":"Hirohi T, Yoshimura K. Surgical correction of retracted nostril rim with auricular composite grafts and anchoring suspention. Aesthet Plast Surg. 2003;27:418.","journal-title":"Aesthet Plast Surg"},{"key":"5506_CR3","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-012-9901-6","volume":"36","author":"JH Kim","year":"2012","unstructured":"Kim JH, Park SW, Oh WS, Lee JH. New classification for correction of alar retraction using the alar spreader graft. 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Plast Reconstr Surg. 2001;107:856.","journal-title":"Plast Reconstr Surg"},{"key":"5506_CR10","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1055\/s-0036-1585573","volume":"32","author":"AC Ballin","year":"2016","unstructured":"Ballin AC, Kim H, Chance E, Davis RE. The articulated alar rim graft: reengineering the conventional alar rim graft for improved contour and support. Facial Plast Surg. 2016;32:384.","journal-title":"Facial Plast Surg"},{"key":"5506_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2014.09.003","volume":"23","author":"RE Davis","year":"2015","unstructured":"Davis RE. Lateral crural tensioning for refinement of the wide and underprojected nasal tip: rethinking the lateral crural steal. 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