The lateral crural turnover graft: Correction of the concave lateral crus

Lateral Crural Transposition Flap in Tip Correction

“…By incorporating a piece of cartilage that would otherwise be discarded, the technique obviates the need for cartilage harvest from a different donor site. 8 In an attempt to improve the LLC technique, Janis et al 9 from the University of Texas Southwestern Medical Center came up with an admirable modification by creating a vascularized LLC flap that is connected by intact anterior perichondrium, turned over, and sutured to the remaining caudal LLC segment. Their technique of LLC turnover flap has been applied to the correction of lower lateral concavities, as well as strengthening the external valve, and prevention of LLC frailty from tip suturing effects, in both primary and revision rhinoplasties, provided an adequate LLC remnant is present.…”

A Technique to Correct Severe Lateral Crural Concavity: Adjunctive Use of a Polydioxanone Plate During Lateral Crural Reverse Plasty

“…c, d, and f Twelve-month postoperative views Aesth Plast Surg (2014) 38:1094-1100 1097 the lower lateral crus do not undergo resection, the caudal rim strip remains intact with this technique. Over the last decade, several variants of the reverse plasty technique were described in which either the cephalic or the caudal half portion of the lateral crura were flipped around, sutured back in place, and used as a free graft with or without out the pedicle of the perichondrium [16][17][18]. The surgeon would then suture the two oppositebended cartilage segments together in a bi-laminate fashion, providing a straight and strong cartilage structure.…”

Frequently Used Grafts in Rhinoplasty: Nomenclature and Analysis

“…21). 26 The lateral crus is incised partial thickness on the undersurface along its length so that the crus is halved longitudinally. This allows the graft to be turned superficial to the caudal segment, so that it breaks but does not separate.…”