Ellipsoid modification of extended soft triangle graft for the treatment of alar retraction and soft triangle deficiency Sevgi Kurt Yazar, Memet Yazar Turkish Journal of Plastic Surgery 2019 27(3):104-106 Background: Alar notching, retraction, or soft triangle deformities have an important impact on rhinoplasty outcome. In this paper, we present the results of an anatomical graft used to correct alar notching and the deformity in the soft triangle region. Patients and Methods: Twenty-four patients were included in the study (10: Female, 14: Male). Following the open rhinoplasty steps, the harvested cartilage grafts were reshaped in an ellipsoid fashion with a width of 0.5–1 mm, a height of 4–6 mm and a length of 1.5–2 cm. These prepared grafts were placed under the intermedial crus and caudal part of the lateral crus. Results: In all patients except one, alar notching and soft triangle deficiency were successfully treated. In one patient, minimal notching persisted following the surgery and the patient did not want any revision surgery. We did not encounter gross absorption, graft exposure, graft visibility, or recurrence of deformities in any patient. Conclusion: We think that this technique can be used in alar notching and soft triangle deformities whether for prophylactic or therapeutic purposes.