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Agrawal et al. Plast Aesthet Res 2018;5:13  I  http://dx.doi.org/10.20517/2347-9264.2018.17                                          Page 3 of 5






























                  Figure 3. Picture in lateral view. Once the required columella labial angle is set, the tent pole graft is sutured to the dorsum to fix it


































                Figure 4. Schematic diagram corresponding to Figure 3, showing final suturing of the cartilage graft to the dorsum once the angle is set

               design a natural and soft looking dorsum. The authors have used this technique in more than 25 patients of
               rhinoplasty with satisfactory results. A representative case is shown in Figure 5.

               Based on various modifications of lateral crural cartilages, Webster et al.  were the first to describe options
                                                                            [3]
               for tip rotation. Ozmen et al.  described the sliding alar cartilage technique for nasal tip modification in
                                        [4]
               which lower lateral cartilage is used. Bohluli et al.  have described lateral crural anchorage flaps in which
                                                          [5]
               excessive parts of the lateral crural cartilages are used as anchorage flaps and fixed with needle to the
               septum to set the nasal tip position. Honrado and Pearlman  have reviewed in detail various techniques for
                                                                  [1]
               adjustment of naso-labial angle in rhinoplasty.
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