Lateral reverse plasty is an essential tool in structure, ethnic, custom, revision and reconstructive rhinoplasties, whenever the lateral cruras of the lower lateral cartilages need to be flipped in order to correct, especially, the concave or inverted ones, typical also in many ethnic noses, 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 reverse plasty 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 curvature stands in place, with or without cross locating them; cross location reason why is when flipping the lateral cruras their caudal or lower ends turns to be cephalic or upper and vice versa, so by means of cross location upper ends upper and lower stays lower.
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.