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Surgical Pearls
Mar/Apr 2015

Transcutaneous Securing Technique for Nasal Onlay Grafts

Author Affiliations
  • 1Section of Plastic and Reconstructive Surgery, University of Chicago Medicine, Chicago, Illinois
  • 2Division of Plastic Surgery, NorthShore University HealthSystem, Chicago, Illinois
JAMA Facial Plast Surg. 2015;17(2):149-150. doi:10.1001/jamafacial.2014.1392

The manipulation of nasal tip cartilages, dorsal cartilages, and nasal bones during rhinoplasty surgery can frequently leave contour irregularities that can be difficult to manage. In these cases of dorsal or sidewall contour issues, onlay grafting may be required to achieve the ideal contour and shape. Ultimate patient and surgeon satisfaction is frequently dependent on an aesthetically pleasing dorsal contour. Crooked noses, dorsal sidewall, middle-third concavity deformities, open roof deformities, saddle nose deformities, and upper lateral cartilage inverted-V deformities can all result in a suboptimal outcome.

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