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Russel W. H. Kridel, MD; Raymond J. Konior, MD

Arch Otolaryngol Head Neck Surg. 1991;117(4):411-415.

Abstract
• Pronounced nasal tip ptosis is generally regarded as an unattractive facial feature. Besides its aesthetic ramifications, marked inferior displacement of the nasal tip adversely affects nasal function by restricting airflow through the nares. We present a new technique that is a modification of a lateral crural flap procedure that was described in 1975. This technique, which is performed using an open rhinoplasty approach, predictably rotates the nasal tip upward by restructuring the alar cartilages via controlled overlay of the lateral crura. When overprojection accompanies tip ptosis, the controlled lateral crural overlay technique permits graduated retrodisplacement of the tip, in addition to rotation, giving the surgeon full control for reliably and accurately repositioning the nasal tip superiorly and posteriorly.

(Arch Otolaryngol Head Neck Surg. 1991;117:411-415)

Author Affiliations
From the Departments of Otolaryngology—Head and Neck Surgery, University of Texas, Houston (Dr Kridel), and Loyola University Medical Center, Maywood, Ill (Dr Konior), and the Department of Otolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Tex (Dr Kridel).

Footnotes
Accepted for publication October 15, 1990.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, White Sulfur Springs, WVa, January 11, 1990.

Reprint requests to 1200 Binz, Suite 1350, Houston, TX 77004 (Dr Kridel).

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