A Modified Technique of Septal Extension Using a Septal Cartilage Graft for Short-Nose Rhinoplasty in Asians

摘要

An aesthetically short nose is very common in Asians. In the past few decades, rhinoplasty in China has focused mainly on the augmentation of the dorsum with alloplastic materials. Alloplastic materials used to augment the nasal tip or for nose lengthening rhinoplasty present a high risk of complications. Therefore, a recent trend in controlling tip projection and rotation is to use an autogenous cartilage graft in Asians. A strong septal extension is mandatory to increase the tip projection and lengthen the nose due to inadequate and inflexible nasal skin in short-nosed patients, whereas cap-and-shield grafting or defattening of the dome or suture modification are used only as additional methods, if necessary.