Revisiting the Alar-Columellar Relationship: Classification and Correction

Rodney J Rohrich, Paul N. Afrooz

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


The alar-columellar relationship has tremendous aesthetic significance in the lower one-third of the nose. Aberrancies in the alar-columellar relationship detract from nasal aesthetics, and are classified into six types: type I, hanging columella; type II, retracted ala; type III, combination of a hanging columella and retracted ala; type IV, hanging ala; type V, retracted columella, and type VI, combination of a hanging ala and retracted columella. This article describes the methods for proper evaluation and diagnosis of aberrancies in the alar-columellar relationship, and current strategies to restore the ideal alar-columellar relationship. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, V.

Original languageEnglish (US)
Pages (from-to)340-346
Number of pages7
JournalPlastic and reconstructive surgery
Issue number2
StatePublished - Aug 1 2019

ASJC Scopus subject areas

  • Surgery


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