9.  Barbara Streisand has a through-and-through 1-cm defect of her right alar rim.  How will you reconstruct her?

Answer:
For a laceration of the rim, I would reapproximate the edges.

For a defect of the rim I would:
a) Advance an ipsilateral nasolabial flap for lining and to provide a vascular bed to receive the chondrocutaneous auricular graft.
b) Apply a helical root composite chondrocutaneous graft to the raw surface of the previously applied nasolabial flap to give external cover and cartilaginous support to the nose.
 

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