Nasal lobule surgery: a simple maneuver for precise resection of part(s) of the lower lateral cartilages through intercartilaginous approach

ABSTRACT

The bases of the maneuver described are (a) to draw on the external skin of the nasal lobule the limits of the Lower Lateral Cartilages (LLCs) resections to be done, in order to have at the end symmetrical and enough LLCs for both a good functional and cosmetic result: (b) after convenient exposure of each LLC - by eversion through intercartilaginous approach and elevation of most of the attached vestibular skin - to transfer the landmarks traced on the lobule skin to the vestibular aspest of the cartilage by using a forceps, with the tips 6 mm wide and provided with teeth for grasping together both the external skin of the lobule and the LLC. With these so transferred landmarks the precise resections of part(s) of the LLCs - according to each specific case and the surgeon's choice - will be easy and quickly performed