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.
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