Andrew Frankel, MD, FACS

Secure tip projection then address rotation

Increasing tip projection

Relationship between columellar complex and caudal septum

Benefit of using a columellar strut

Relationship between medial crus and caudal septum

Transcolumellar Incision

Marginal Incisions

Medial Crural Separation

Skin muscle flap dissection

Upper Lateral Cartilage Detachment

Mucoperichondrial flaps on Septal perf repair

Extended Spreader grafts

Vestibular Skin Dissection

Alar pocket dissection

Lateral Crural Repositioning

Columellar Strut

Tongue in Groove

Subdomal Graft