Pinched Nose and Fibrous Prominent Tip

Abstract

A pinched nose means a permanent sinking of the vestibular wall, obstructing the nostril and creating an unaesthetic alar groove on one or both sides. This nasal deformity is always secondary to an excessive lower lateral cartilage resection and must be differentiated from the collapsing ala, which is only seen on inspiration, owing to its particular slackness. The pinched nostril results from the loss of a wide part of the lower lateral cartilage and often also from a concomitant vestibular scar retraction.