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Updated: Jan 6, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
17.6K
Correction of Nasal Pinching.
Ari J Hyman1, Sarah Khayat2, Dean M Toriumi2
1Private Practice, Facial Plastic and Reconstructive Surgery, 16311 Ventura Boulevard #600, Encino, CA 91436, USA.
Facial Plastic Surgery Clinics of North America
|October 8, 2019
Summary
Correcting a pinched nasal tip deformity, often caused by previous surgery, can be achieved using lateral crural strut grafts. This technique restores natural nasal aesthetics and function by supporting the alar margin.
Area of Science:
- Plastic Surgery
- Rhinoplasty
- Facial Aesthetic Surgery
Background:
- Pinched nasal tip deformity is a common complication following rhinoplasty.
- This deformity results from over-narrowing of the nasal tip, damaging the lateral crura and alar margin support.
- It creates a distinct boundary between the nasal tip and alar lobule, disrupting nasal subunit aesthetics.
Purpose of the Study:
- To evaluate the efficacy of lateral crural strut grafts in correcting pinched nasal tip deformities.
- To restore functional and aesthetic balance to the nasal tip after prior surgery.
Main Methods:
- Surgical correction utilizing lateral crural strut grafts.
- Graft placement with or without repositioning of the lateral crura.
- Assessment of functional and aesthetic outcomes.
Main Results:
- Lateral crural strut grafts effectively address the pinched nasal tip.
- The technique restores support to the alar margin.
- Natural nasal tip appearance and subunit harmony are achieved.
Conclusions:
- Lateral crural strut grafts are a valuable surgical option for correcting pinched nasal tip deformities.
- This method effectively reconstructs weakened lateral crura and supports the alar margin.
- Restoration of a natural nasal appearance and improved function are key outcomes.
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