A Unique Case of Modifying an Old Extended Spreader Costal Graft into a Supportive Structure in a Nasal Alar Reconstructive Surgery – A Case Report

A ten-year-old reconstruction surgery of a total nasal dorsum defect on the right nose involves medial arm flap and self-rib cartilage, complicated into fibrous tissue retraction, which caused nostril narrowing asymmetry. This complication was corrected using combination nasolabial for skin coverage modified, old rib cartilage graft to create supportive rim newly reconstructive ala. There is controversy about advantage auricular versus costal with gap in academic studies. However, this case, has shown significant benefits that helped patients gain best functional aesthetic results. In addition, modification an another function unique spotlight our case. Therefore, we report case alternative function, as well observed results from first-stage procedure.