Abstract
Cephalic malposition of the lower lateral cartilages (LLC) gained increasing awareness
as a distinct anatomical entity within the last years. It has become clear that this
type of deformity is not amenable to traditional rhinoplasty techniques. Repositioning
of the lateral crus of the LLC enables the surgeon to achieve significant and reliable
changes in the shape and function of the nose. The authors present their technique
for repositioning of the cephalically malpositioned LLC. Their method is based on
a turn-in flap that is positioned along the caudal margin of the repositioned LLC.
This flap straightens a convex LLC and gives reliable structural support to the caudal
alar margin. In this article, they discuss the various indications of this technique,
introduce a new, more precise concept for evaluation of the axis of the lateral crus
of the LLC, and highlight additional details of this reliable technique.
Keywords
rhinoplasty - lower lateral crus - alar cartilage - cephalic malposition - lateral
crural repositioning
