Oblique Turnover Flap for Repositioning and Flattening of the Lateral Crura: A Novel Technique to Manage Cephalic Malposition of Lower Lateral Cartilage.

Cephalic malposition of lower lateral cartilage (CMLLC) is one of the most common objects of aesthetic and functional rhinoplasty. Constantian wrote in his article that 68% of his primary rhinoplasty cases had lateral crural malpositioning.1 To diagnose CMLLC the surgeon has to observe several parameters that were described by Sheen: malposition is “any displacement of the lateral crura from the usual parallel alignmentwith the nostril rims,” that can be presented as abnormal axes of the lateral crura, bulbous, and broad nasal tip, parenthesis deformity, long alar creases, which extend to the nostril rims, alar wall hollows, alar retraction, nostril deformities, and incompetence of the external valve.2 Daniel measured the