Asymmetrical Lateral Crus Steal in Geometric Tip Reshaping

Marcin Jadczak; Sandra Krzywdzińska; Dariusz Jurkiewicz

doi:10.1055/s-0044-1787723

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2025; 41(03): 334-341
DOI: 10.1055/s-0044-1787723

Original Research

Asymmetrical Lateral Crus Steal in Geometric Tip Reshaping

Authors

Marcin Jadczak

¹Department of Otolaryngology with Division of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Warsaw, Poland

²Private Practice, MEA Clinic, Warsaw, Poland
Sandra Krzywdzińska

¹Department of Otolaryngology with Division of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Warsaw, Poland
Dariusz Jurkiewicz

¹Department of Otolaryngology with Division of Cranio-Maxillo-Facial Surgery, Military Institute of Medicine—National Research Institute, Warsaw, Poland

Abstract

A key component of a well-performed rhinoplasty is to obtain the proper, aesthetic shape of the nasal tip. Various surgical techniques have been developed to achieve this effect. In this work, the author wanted to focus not only on the satisfactory shape of the nose, but above all on its main role—functionality. In this article, the asymmetrical lateral crus steal (ALCS) technique is proposed, which in its assumption will enable narrowing, better defining and rotating of the nasal tip, and at the same time enhancing nasal patency. We present a retrospective analysis within the group of 267 patients who underwent primary open-approach rhinoplasty that included the ALCS technique. The mean follow-up time was 12 months. A total of 232 patients achieved very good postoperative results without observation of any serious complications related to breathing difficulties or asymmetry of the nasal tip shape. ALCS is a relatively simple surgical technique to perform. The use of the ALCS suture creates the possibility of proper profiling of the nasal tip while improving the respiratory functions of the nose.

Keywords

rhinoplasty - nasal tip - LC steal - tip reshaping - lateral crus rotation

Full Text

References

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