Lateral cruras repositioning is an essential tool in structure, ethnic, custom, revision and reconstructive rhinoplasties, whenever the lateral cruras of the lower lateral cartilages need to be subtotally or totally reoriented in order to correct, especially, the vertically oriented ones or parenthesis tip deformity typical also from the boxy tip, providing the location, prominence, shape, size, angle or specific custom look desired by the patient or deemed technically required by the surgeon, from an ambitious change up to a totally brand new custom made lateral crura.
Lateral cruras repositioning can be a single maneuver or either be, quite commonly, combined with lateral crura batten graft, strut graft or replacement graft, so that the new orientation stands in place, with or without suturing the lateral end of the crura to the newly tailored pocket at the ala.
It is considered a highly demanding technique of high difficulty, long time consuming in the operating room and pretty much artistic in terms of its versatility, allowing full deployment of creativity reshaping noses.
This gesture can be done by either closed or open approach rhinoplasties, notwithstanding the open approach is a must of safety, reliability and precision for its execution.
Patients warning: only highly experienced surgeons who have underwent optimal training and have performed already a large number of closed and open approach structure and non structure rhinoplasties should execute high end rhinoplasty cases, should they feel capable and comfortable with the challenge.