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Lateral Crural Mid-Down Flap Technique in Primary Rhinoplasty
Sina Kaderi1, Can Ekinci2, Yakup Karabağlı2
1Private Practice, Bostancı. Bağdat Av. Çınarlı St. No: 10 Apt:7, Kadıköy/İstanbul, 34744, Turkey. sina.kaderi@gmail.com.
Aesthetic Plastic Surgery
|May 20, 2025
Summary
The lateral crural mid-down flap (LCMF) technique offers improved nasal tip aesthetics and function compared to cephalic excision (CE) for correcting lateral crura deformities.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
- Nasal Anatomy
Background:
- Correction of lateral crura deformities in rhinoplasty is challenging.
- Existing techniques for nasal tip surgery have limitations.
Purpose of the Study:
- Introduce and evaluate a novel lateral crural mid-down flap (LCMF) technique.
- Compare LCMF with the cephalic excision (CE) method for correcting lateral crura convexity.
Main Methods:
- A randomized study of 30 patients comparing LCMF and CE techniques.
- Utilized SCHNOS, nasal pinching questionnaire, and VAS for outcome assessment.
Main Results:
- Both techniques showed significant improvement in overall outcomes (SCHNOS, VAS).
- LCMF demonstrated superior results in specific nasal tip aesthetics and function (nasal pinching questionnaire) compared to CE.
Conclusions:
- The LCMF technique is effective and suitable for correcting lateral crura deformities, particularly in cases of excessive convexity and bulbous nasal tips.
- LCMF offers advantages in aesthetic and functional outcomes for specific nasal tip deformities.

