{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T14:08:29Z","timestamp":1768486109248,"version":"3.49.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the superficial orbicularis oris nasalis (SOON) is placed into the footplates and the continuation of the superficial muscular aponeurotic system (SMAS) is situated within the membranous septum. Moreover, the SOON is a powerful depressor of the nasal tip.<\/jats:p>\n                  <jats:p>Many techniques attempt to reconstruct the tip support with grafts, but footplates and their connections can play an important role.<\/jats:p>\n                  <jats:p>We describe a surgical technique that involves footplate release and repositioning for better sill design, improvement of tip support and stability, better balance of the columellar\u2013labial junction (CLJ), upper lip lifting, and eversion of the vermilion.<\/jats:p>\n                  <jats:p>This retrospective study reviewed the medical records of 64 patients who underwent all steps described in the paper.<\/jats:p>\n                  <jats:p>The patients were followed up for 12 months and decreases in philtrum length were accompanied by an enhanced vermilion showing creating a more favorable balance.<\/jats:p>\n                  <jats:p>The footplate release and repositioning technique can be incorporated as an adjunct in rhinoplasty to provide additional tip support, facilitate nasolabial angle adjustment, and assist in upper lip repositioning.<\/jats:p>","DOI":"10.1055\/a-2624-8475","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T19:03:11Z","timestamp":1750186991000},"page":"135-145","source":"Crossref","is-referenced-by-count":0,"title":["The Footplates Reposition Technique for Improving Tip Stability, Balancing Columellar\u2013Labial Junction, and Upper Lip Lifting"],"prefix":"10.1055","volume":"42","author":[{"given":"Helena Hotz Arroyo","family":"Ramos","sequence":"additional","affiliation":[{"name":"Otolaryngology, Private Practice, Vitoria, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Nakamura","sequence":"additional","affiliation":[{"name":"PerFace Institute, Private Practice, Brasilia, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebeca Silva Chiabai","family":"Loureiro","sequence":"additional","affiliation":[{"name":"Otolaryngology, Private Practice, S\u00e2o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Kozelinski","sequence":"additional","affiliation":[{"name":"Otolaryngology, Private Practice, Vitoria, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Freire","sequence":"additional","affiliation":[{"name":"Otolaryngology, Private Practice, S\u00e2o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean M.","family":"Toriumi","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, Rush University Medical Center, Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1177\/1090820X12472695","article-title":"The lower nasal base: an anatomical study","volume":"33","author":"R K Daniel","year":"2013","journal-title":"Aesthet Surg J"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"464e","DOI":"10.1097\/PRS.0000000000000022","article-title":"Classifying deformities of the columella base in rhinoplasty","volume":"133","author":"M R Lee","year":"2014","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/01.sap.0000106427.50863.b3","article-title":"Advantages of adding a footplate incision in Asian rhinoplasty","volume":"53","author":"S K Han","year":"2004","journal-title":"Ann Plast 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Surg"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s00266-004-0137-y","article-title":"A new approach to smiling deformity: cutting of the superior part of the orbicularis oris","volume":"29","author":"E Benlier","year":"2005","journal-title":"Aesthetic Plast Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1590\/S1983-51752011000300017","article-title":"Lifting nasolabial com realce do vermelh\u00e3o","volume":"26","author":"V LN Cardim","year":"2011","journal-title":"Rev Bras Cir Pl\u00e1st"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"331e","DOI":"10.1097\/PRS.0000000000010745","article-title":"A nasal columellar base stabilizing suture technique","volume":"153","author":"N Baldini","year":"2024","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1177\/1090820X14524769","article-title":"The endonasal lip 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