residence of Hospital Angelina Caron. Coordinator of the Otorhinolaryngology Service of the Brazilian Red Cross Hospital- Paraná. * * Otorhinolaryngologist. Fellow in Facial Plastic of the Brazilian Red Cross Hospital- Paraná. Institution: Departamento de

Introduction: The reduction of the large nasal dorsum is a critical step for rhinoplasty because it works in the nasal valve area with the challenge of a favorable aesthetic result without functional damage. Method: We used a modified method of reduction of the upper lateral cartilage, through elliptic excision, aiming to reduce the width of the nasal middle third. The inner nasal valve structure, the relationship of the upper lateral cartilages (ULC) with the nasal septum and the excess of ULC are evaluated. The UL