Plastic Surgery International / 2014 / Article / Fig 1

Clinical Study

Augmentation Rhinoplasty in Cleft Lip Nasal Deformity: Preliminary Patients’ Perspective

Figure 1

(a) Diagram showing the skin marking of the submammary incision. The curved line drawn inferior to the submammary marking represented the inferior margin of the rib cage. (b) The fabrication process of the harvested rib cartilage in which equal portion of the cartilage peripheries was shaved such that only the central most portion of the cartilage was retained for grafting. (c) The columellar component of the L-shaped rib cartilage was secured to the nasal spine, just inferior to the medial crus of lower lateral cartilages with 0.8 mm sized K-wire. (d) The proximal end of the dorsal onlay graft was secured to the nasal bone using K-wire (black arrow).