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Use of a forehead flap and cartilage grafts does not automatically create a normal, aesthetic nose, especially for a child. Correct framework, form, and dimension are required, or the result will be merely a new but different deformity. Creation of a nose requires artistic and surgical ability, and can be learned by careful study of the technical aspects and artistry of aesthetic nasal reconstruction in children.
Gary C. Burget (Wed,) studied this question.