Objective assessment of effect of dome cut and suture on the correction of lower lateral cartilage malposition

All surgeons who work on rhinoplasty, should have adequate knowledge in anatomic perspectives and related deformities, especially in tip area to reach ideal outcomes. According to historical definitions of projection and lower lateral cartilage (LLC), which is composed of three crura: middle, lateral, and medial, lateral LLC forms an acceptable angle with the septum. LLC malposition may be congenital or secondary, may result in functional complications, such as difficulty in nasal breathing during inspiration due to external valve collapse, or aesthetic complication, including boxy tip, ball tip, pinch tip, poor alar - columellar relationship, poor tip aesthetics, and alar notching +/-retraction.