Journal of Clinical & Experimental Dermatology Research
Open Access

The Onlay Folded Flap (OFF): A new technique for nasal tip surgery

4^th International Conference and Expo on Cosmetology & Trichology

June 22-24, 2015 Philadelphia, USA

Hani Abou Mayaleh

Posters-Accepted Abstracts: J Clin Exp Dermatol Res

Abstract :

Background: The onlay folded flap (OFF) is introduced as a new technique for reshaping, refining, supporting, and projecting the nasal tip by remodelling the cephalic portions of the lateral crura rather than cancelling them. The surgical technique will be described, the long term outcomes will be demonstrated, and the indications, contraindications, advantages, and disadvantages will be defined. Methods: Two symmetric lateral flaps are taken from the cephalic portions of the lateral crura, and attached to the domal segments. The flaps�?? internal edges are carefully sutured together to form one flap. This is then rotated anteriorly over the original domes, and fixed with them, before its distal portion is turned posteriorly over the first layer, and fixed with it. The nasal tip projection is calculated pre- and post-operative periods using a personal method (Alar Tip Distance �??DAT�?�) as a means of evaluating the gain in nasal tip projection in the post-operative period. Conclusion: The OFF technique is recommended in primary rhinoplasty only in people with a normal or thick skin for reshaping, refining, and supporting the nasal tip, and increasing nasal tip projection (from 3 mm to 5 mm maximum). It has many advantages and good postoperative results.