The Onlay Folded Flap (OFF) for Nasal Tip Surgery

  • Hani Abou Mayaleh


The onlay folded flap (OFF) is a new technique, used for reshaping, refining, supporting, and projecting the nasal tip without either cartilage resection or cartilage grafting. This method uses and remodels the cephalic portions of the lateral crura, which are usually discarded during the reduction of the alar cartilages. The technique is described with indications and contraindications. The OFF technique is another alternative for achieving tip refinement and projection by remodelling the existing cephalic portions of the alar cartilages rather than cancelling them.


Cartilage Graft Septal Cartilage Alar Cartilage Lower Lateral Cartilage Onlay Graft 
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© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.French HospitalDamascusSyria
  2. 2.Italian HospitalDamascusSyria

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