Extended Lateral Crural Overlay for Lateral Crural Tensioning.

An extended lateral crural overlay with substantial overlapping of the two cartilaginous edges combined with fixation of the lower lateral cartilages (LLC) to a septal extension graft is an efficient technique for tensioning and flattening the lateral crura of the LLC. This technique can be used to improve tip definition and to create a smooth and strong transition between tip lobule and alar lobule without producing a tendency for over projection of the nasal tip.