Crushed cartilage grafts over alar dome reduction in open rhinoplasty

Primary and secondary nasal tip deformities can be repaired more easily with an open technique rather than with the traditional closed methods that have been used for the over-projecting tip. Division of the alar domes with a side-to-side repair followed by the onlay of a single crushed cartilage graft to prevent postoperative cartilaginous deformities has been shown to be a reliable maneuver in both primary and secondary rhinoplasties.