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Rainbow Graft: A Technique for the Replacement of the Lower Lateral Cartilages, Improvement of Tip Projection, and Correction of External Nasal Valve Dysfunction

Bracaglia, Roberto MD; Tambasco, Damiano MD; Gentileschi, Stefano MD; D’Ettorre, Marco MD

doi: 10.1097/SCS.0b013e3182a24582
Original Articles

Revision rhinoplasties are extremely difficult to perform even for the surgeons mastering nasal surgery. In fact, they must be skilled at adapting surgical strategies to the anatomical changes induced by primary rhinoplasty.

We herein describe an original technique using an auricular cartilage graft after 6 revision rhinoplasties.

The aforementioned graft succeeded in improving tip support, correct external nasal valve dysfunction and alar pinch, and providing tip definition, projection, and ptosis.

In our opinion, rainbow graft is a safe approach in case of severe nasal structural deficiencies, improving both the functional and esthetic results in revision rhinoplasties.

From the Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Rome, Italy.

Received February 11, 2013.

Accepted for publication May 27, 2013.

Address correspondence and reprint requests to Damiano Tambasco, MD, University Hospital A. Gemelli—Largo A. Gemelli, 8, 00168 Rome, Italy; E-mail:

The authors report no conflicts of interest.

© 2013 by Mutaz B. Habal, MD.