title: Correction of the pinched nasal tip with alar spreader grafts.
abstract: A pinched nasal tip is caused by collapsed alar rims secondary to weak lateral crura. The resulting deformity can be corrected with alar spreader grafts--autogenous grafts of septal or auricular cartilage that are inserted between and deep to the remaining lateral crura to force them apart, propping up the caved-in segment. We describe the surgical technique, indications, and variations in design of alar spreader grafts and present representative results from our series of 38 patients.
authors.affiliation: Department of Surgery, University of Texas Southwestern Medical Center, Dallas.
authors.forename: J P
authors.initials: JP
authors.lastname: Gunter
authors.forename: R J
authors.initials: RJ
authors.lastname: Rohrich
mesh_terms: D000328:Adult; D004425:Ear Cartilage / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000637:transplantation*; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012225:Rhinoplasty / Q000009:adverse effects*; D013997:Time Factors; D014182:Transplantation, Autologous