Facial plast Surg 2016; 32(01): 042-048
DOI: 10.1055/s-0035-1570326
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Conchal Cartilage Butterfly Graft

Oren Friedman1, Orly Coblens1
  • 1Department of Otorhinolaryngology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
10 February 2016 (online)


Nasal obstruction due to weakening of the nasal sidewall is a very common patient complaint. The conchal cartilage butterfly graft is a proven technique for the correction of nasal valve collapse. It allows for excellent functional results, and with experience and attention to technical detail, it may also provide excellent cosmetic results. While this procedure is most useful for restoring form and function in cases of secondary rhinoplasty following the reduction of nasal support structures, we have found it to be a very powerful and satisfying technique in primary rhinoplasty as well. This article aims to describe the butterfly graft, discuss its history, and detail the technical considerations which we have found useful.