European Archives of Oto-Rhino-Laryngology

, Volume 273, Issue 12, pp 4053–4059 | Cite as

Value of cephalic part of lateral crus in functional rhinoplasty

  • Amir A. SazgarEmail author
  • Amin Amali
  • Mina Najarzad Peyvasty
Review Article


Reshaping of the nasal tip is the most difficult part of rhinoplasty. Over the years, there have been many advances in the field of rhinoplasty, including tip plasty. The goal of these continuous refinements in existing procedures has been to improve both aesthetic and functional outcomes. The cephalic part of the lateral crus of the lower lateral cartilage is what mainly contributes to nasal tip deformity. Various surgical techniques have been reported that used the cephalic part of lateral crus to refine the nasal tip and preserve alar integrity and nasal breathing function. In this review article, we have attempted to show the evolution of these methods while focusing on development of approaches that are basic for “modern rhinoplasty” and presenting our personal preferences. We have also endeavored to categorize these methods and clarify some misconceptions and inaccuracies in their descriptions.


Rhinoplasty Tip-plasty Alar cartilage Cephalic trim 


Compliance with ethical standards

Conflict of interest

There are no potential conflicts or financial relationships. No funding was received to assist in the creation of this manuscript.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Amir A. Sazgar
    • 1
    Email author
  • Amin Amali
    • 1
  • Mina Najarzad Peyvasty
    • 1
  1. 1.Department of Otolaryngology Head and Neck Surgery, Vali-Asr Hospital, Imam Khomeini Medical ComplexTehran University of Medical SciencesTehranIran

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