Increasing the length of the middle crura for better tip projection in primary rhinoplasty.
Cartilage grafts have been a very popular method for achieving tip projection in difficult noses. Sometimes asymmetries and graft visibility are undesirable complications. Remodeling the alar cartilages, using a cartilage flap from the lateral crura, rotated over the original domes, is another alternative for achieving tip refinement and projection. The surgical technique is described and clinical results are presented.
Hospital Angeles del Pedregal, Camino Santa Tresa 1055, Consultorio 502, México, D.F., México 10700.
J
J
García-Velasco
J T
JT
Vidal
S
S
García-Casas
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques