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Pinched nose deformity

There are many causes for the pinched appearance of the nose.

In Caucasian noses, cartilage deformity is the main problem.


However in Asian noses, it is usually from secondary changes by augmentation rhinoplasty.

When the nose is augmented, usually only the central part of the nasal bridge and nasal tip is augmented,

without proper support for the sidewall.


To prevent the pinched nose deformity, alar sidewalls must be supported in proper ways.

I use the wing graft, to prevent alar collapse, to make smooth transition from tip to alar sidewalls, to prevent visibility of tip grafts.




Wing grafts support the aalr rims