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Surgical Technique
Mar/Apr 2009

Preserving Structural Integrity of the Alar Cartilage in Aesthetic Rhinoplasty Using a Cephalic Turn-in Flap

Author Affiliations

Author Affiliations: Division of Otolaryngology–Head and Neck Surgery, Virginia Mason Medical Center, Seattle, Washington (Dr Murakami); and Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California (Drs Barrera and Most).

Arch Facial Plast Surg. 2009;11(2):126-128. doi:10.1001/archfacial.2008.524

Resection of the alar cartilage has long been a mainstay of aesthetic rhinoplasty. One drawback of this technique is the destabilization of the ala/lateral nasal wall complex. Herein we describe the cephalic turn-in flap, a technique for reinforcement of the alar cartilage after removal of its cephalic portion.