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Sir,

We read with great interest the article entitled “Nasal Reconstruction Using Rib Grafting with Cold Light Source Technology” by Zhang et al. [1] in Aesthetic Plastic Surgery. This was a retrospective clinical trial to evaluate the efficacy and safety of cold light source technology in patients with nasal reconstruction. We were encouraged by their minimally invasive techniques for the harvesting of costal cartilage.

In the authors’ practice, the incision was located laterally from the axis of the body, resulting in limited medial visual field. Thus, the medial bleeding and pneumothorax are troublesome. We believe that the authors' introduction of their experience with hemostasis and management of pneumothorax in the medial side would help to generalize their technique in the academic community.

In our practice, a lateral incision is a viable option. However, in exposing the inner field, it is necessary to counteract the forces of the rectus abdominis, which can be laborious. In addition, excessive pulling would increase the damage to the skin edge of the incision, resulting in obvious incision scar.

The authors reported the use of their cold light source technology in patients with nasal reconstruction. However, the nose reconstruction itself is not directly related to the cold light source. That is, cosmetic rhinoplasty may be suitable for the same procedure. We look forward to seeing their reports with larger sample size and applications of this technique in cosmetic rhinoplasty. Besides, we noted that the authors used block costal cartilage for rhinoplasty, and we would like to ask their opinions about the use of cartilage granules and auricular cartilage in cosmetic rhinoplasty.