This condition is frequently a deformity. The base of the nose is tilted upward, unduly exposing the nares.
The author prefers to bring the lobule down by excision of the anterior third of the subseptum in preference to submucous dissection of the cartilaginous tissue, causing the deformity.
Fig. 478. Fig. 479.
Author’s Method.
With an angular scissors introduced through the nares, a triangular section of the septum is removed, as shown in [Fig. 478]. The apex of the triangle should be placed well up into the septum to break the elasticity of its structure, the base of the triangle being sufficiently wide to somewhat overcorrect the deformity.
Such noses are usually narrow at the lobule, and no interference with the lower lateral cartilages is called for.
The septal mucoid and the subseptal skin wounds are brought together by suture, as shown in [Fig. 479], leaving only a slight transverse linear scar on the subseptum.