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Concave lateral cruras

Synonyms
Alar cartilages bossae | Alar cartilages bossing | Alar cartilages buckling | Alar cartilages concavity | Alar cartilages deformity | Alar cartilages knuckling | Concave alar cartilages | Inverted alar cartilages | Inverted lateral cruras | Lateral cruras bossae | Lateral cruras bossing | Lateral cruras buckling | Lateral cruras concavity | Lateral cruras deformity | Lateral cruras knuckling | Misshapen alar cartilages | Misshapen lateral cruras | Paradoxical alar cartilages | Paradoxical lateral cruras | Sunken alar cartilages | Sunken lateral cruras

Inverted lower lateral cartilages

The nose is made up of a fixed and rigid part that is called nasal pyramid, although it rather has the shape of a tent or roof, and a pliable mobile part which is the nasal tip, the alae and its annexes. The nasal tip and the alae are structured by the so called alar or lower lateral horseshoe shaped cartilages with their lateral and medial crura or crus and accessory cartilages, the domes between lateral and medial cruras, the interdomal fibrofatty pad, the caudal or lower septum and the skin of the alae.

Both halves of the nasal tip join with each other in the center of the tip to form a tripod in which the lateral legs are the lateral cruras of the alar or lower lateral cartilages and the central leg the union of both medial cruras of the alar or lower lateral cartilages.

When the lateral cruras of the alar or lower lateral cartilages are partially or totally, unilaterally or bilaterally, symmetrically or asymmetrically, severely or mildly (all the possible given combinations might be present) inverted or concave (instead of their canonically normal convex or flat shape) at their lateral cruras there is a visible buckling at the sides of the tip of the nose and at the alae, sunken parts, hollow portions, dips, the tip and the nasal valve is pinched, the asymmetries aggravated, the tip is prone to look boxy, there are visible ridges at the cephalic upper edge of the inverted cartilages due to overlapping with the middle vault and at the lower edge the ridges show at the alar rim, being the overall nasal look grotesque and artificial, leading to lack of suitable femininity in women and an unsightly look in men.

Treatment of inverted alar or lower lateral cartilages has to be customized to each individual situation, being the main pillar the techniques of alar or lower lateral cartilages grafting, combining either alar cartilages batten, strut or replacement grafting, lateral cruras eversion, lateral cruras cross location, bridging, tongue in groove maneuver, plasties, plications (shaping sutures through the cartilages), nasal tip grafting, with or without reinforcement of tip support with columellar strut.

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    Celebrity Nose Job | Celebrity Rhinoplasty | Complex Nose Job | Complex Rhinoplasty | Custom Nose Job | Ethnic Nose Job | Grafting Nose Job | Grafting Rhinoplasty | Made to Order Nose Job | Made to Order Rhinoplasty | Non Caucasian Nose Job | Non Caucasian Rhinoplasty | Open Structure Nose Job | Open Structure Rhinoplasty | Perfectioning Nose Job | Perfectioning Rhinoplasty | Personalized Nose Job | Personalized Rhinoplasty | Racial Nose Job | Racial Rhinoplasty | Rebuild Nose Job | Rebuild Rhinoplasty | Reconstruction Nose Job | Remedial Nose Job | Remedial Rhinoplasty | Repair Nose Job | Repair Rhinoplasty | Reshaping Nose Job | Reshaping Rhinoplasty | Results Improvement Nose Job | Results Improvement Rhinoplasty | Revision Nose Job | Secondary Nose Job | Secondary Rhinoplasty | Supporting Nose Job | Supporting Rhinoplasty | Tailor Made Nose Job | Tailor Made Rhinoplasty

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