{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:02:24Z","timestamp":1779753744860,"version":"3.53.1"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hanging alar deformity is an excessive caudal projection of the alar rim found particularly among Asians. In this review, we conducted a retrospective photographic analysis of cases that underwent alar hanging correction using the modified arrow tip technique.<\/jats:p>\n                  <jats:p>Numerous techniques have been developed to address this deformity. However, these methods have their pros and cons in terms of precision and postoperative care.<\/jats:p>\n                  <jats:p>One hundred thirty-eight patients undergoing modified arrow tip correction at a private clinic in Bangkok, Thailand, from January 2022 to October 2025 were included.<\/jats:p>\n                  <jats:p>The technique relies on a partial-thickness excision. The mean frontal height decreased from 15.15\u2009\u00b1\u20091.87 to 13.21\u2009\u00b1\u20091.63\u2009mm (\u221211.80\u2009\u00b1\u200910.77%). The lateral height reduced from 16.18\u2009\u00b1\u20091.93\u2009mm to 13.88\u2009\u00b1\u20091.69\u2009mm (\u221213.26\u2009\u00b1\u20099.49%). Differences between views were statistically significant. Scarring and asymmetry were found in 10.14 and 1.45%, respectively.<\/jats:p>\n                  <jats:p>Effectiveness in broader patient populations and the potential benefits of combining with complementary procedures should be explored in broader populations.<\/jats:p>\n                  <jats:p>Modified arrow tip technique is safe, effective, and reproducible for addressing hanging alar deformity with minimal complications.<\/jats:p>","DOI":"10.1055\/a-2875-0304","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T22:37:02Z","timestamp":1778798222000},"source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Alar Hanging Correction with Modified Arrow Tip Technique: 4 Years Experience"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6128-0984","authenticated-orcid":false,"given":"Kritsada","family":"Kowitwibool","sequence":"additional","affiliation":[{"name":"Chulalongkorn University, Thailand","place":["Bangkok"],"department":["Department of Otolaryngology\u2013Head and Neck Surgery, Faculty of Medicine, Division of Facial Plastic and Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaedsiree","family":"Thanakitcharu","sequence":"additional","affiliation":[{"name":"Chulalongkorn University, Thailand","place":["Bangkok"],"department":["Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanapat","family":"Supakmontri","sequence":"additional","affiliation":[{"name":"Thammasat University, Faculty of Medicine, Bangkok, Thailand","place":["Bangkok"],"department":["Department of Otolaryngology Head and Neck Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thitinij","family":"Soontornwesn","sequence":"additional","affiliation":[{"name":"King Chulalongkorn Memorial Hospital, Bangkok, Thailand","place":["Bangkok"],"department":["Department of Otolaryngology Head and Neck Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.18787\/jr.2021.00365","article-title":"Alar rim deformities in Korean primary rhinoplasty patients","volume":"28","author":"S J Kim","year":"2021","journal-title":"J Rhinol"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s00238-020-01656-6","article-title":"The arrow tip technique for bilateral hanging ala: a 3-year review","volume":"43","author":"K L Gan","year":"2020","journal-title":"Eur J Plast Surg"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.84805","volume-title":"Alar Rim Grafts","author":"P S Arquero","year":"2019"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"635","DOI":"10.15537\/smj.2020.6.25117","article-title":"Sail excision technique for overhanging thick ala in Saudi Arabia","volume":"41","author":"J Y Hudise","year":"2020","journal-title":"Saudi Med J"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1055\/s-0039-3401472","article-title":"A modified closed-open approach as part of a graduated and integrative approach to rhinoplasty","volume":"52","author":"J R\u00f6jdmark","year":"2019","journal-title":"Indian J Plast Surg"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1001\/archfaci.2010.30","article-title":"Alar soft-tissue techniques in rhinoplasty: algorithmic approach, quantifiable guidelines, and scar outcomes from a single surgeon experience","volume":"12","author":"J P Warner","year":"2010","journal-title":"Arch Facial Plast Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1001\/archfaci.7.2.81","article-title":"A simplified approach to alar base reduction: a review of 124 patients over 20 years","volume":"7","author":"R W Kridel","year":"2005","journal-title":"Arch Facial Plast Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2875-0304.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T23:08:27Z","timestamp":1779750507000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2875-0304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":7,"URL":"https:\/\/doi.org\/10.1055\/a-2875-0304","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5,14]]},"published":{"date-parts":[[2026,5,14]]}}}