Do Lateral Crural Struts Always Add Width to the Nose? (photo)

The "parentheses deformity" is very common after a primary rhinoplasty where too much lower lateral cartilage was removed.  The lateral crural strut is designed to reinforce this weak lateral cartilage - thus providing for a better breathing and contour.  I have used both lateral crural struts and alar "batton" graphs to correct this type problem. If the graft is designed properly is should add very little width to your nose.

I would take the graft out of the nose or refine the edges of the tip.  Sometimes, lateral crural struts are necessary.  Sometimes, suturing existing cartilage can add sufficient strength.  This can be
done in closed fashion so that you do not have any visible scars.Find a plastic surgeon who performs hundreds of rhinoplasties, has great reviews, and has great before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Lower lateral crural strut grafts shouldn't make the nose wider. I would suspect that it should help with the tip pinching you want addressed as it mainly improves the concave contour of the lower lateral crural cartilage. At the same time the grafts should help strength the area to prevent dynamic collapse while breathing.

Lateral crural struts add width to the lower third of the nose just above the alar crease where they are placed and will help with valve collapse and pinching.  A shield graft will also help along the dorsal aesthetic line area for added width in that area and help improve breathing.  These also help with breathing.  It is difficult to show what these types of grafts will do on computer imaging since the computer imaging is 1 dimensional and the nose is 3 dimensional.

In general, the lateral crural strut grafts give better support to the lateral crura. It may make the appearance a bit wider and less pinched.

With the limited pictures that you sent it is hard to determine what you need . I do not beleive that the struts would widen your nose.

Each Rhinoplasty has to be customized to fit each patient . Revision rhinoplasty is a more difficult procedure because even with the prior surgeons report sometimes the unexpected is found. 

It is important in all rhinoplasty surgeries to make sure the nose is both aesthetically pleasing and completely functional. The grafts should help alleviate the complaint of the pinched tip with out widening the tip and should hopefully correct the breathing difficulties. Both of these opinions are based on the limited information provided and a full physical examination would need to be done to properly diagnose the cause or causes of your breathing difficulties.

Hi,

It looks like you would benefit from lateral crural struts and spreader grafts.The combination should improve your breathing and have a similar cosmetic outcome to the one you have shown.

Best.

Dr.S.

Lateral crural struts will improve the convexity of your lateral tip without making your nose wider. Spreader grafts may also be necessary to improve your breathing. With revision surgery the usual goal is to improve both appearance and function.