good question: only when i do a cup reduction do i cut cartilage. when i do a lop reduction, i never cut cartilage. i believe that if you cut cartilage along the antihelical fold then you can create visible problems down the road. conversely, i believe that if you do not reduce the conchal bowl through cartilage reduction you do not get a good reduction that also lasts. if these points of anatomy elude you, review my learning module on this web site: http://www.lamfacialplastics.com/resour ... -tutorial/
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery