Rhinoplasty of wide andbulbous nasal tip with a piece of septal cartilage as septal extender

Abstract

：Objective To evaluatethe role of autologous septal cartilage in the rhinoplasty of the wide and bulbous nasaltip. Methods A big piece of autologous nasal septal cartilage was removed and transplantedto the front of nasal septum, acting as a septal extender to fix the nasal alarcartilage,and then the shape of nasal tip was reconstructed by middle crus suturetechnique, excessive soft tissue under skin of tip and a part of lateral crura cartilagewere removed to stand out the shape of the nasal tip. Results After one year follow-up,118 of 126 cases achieved satisfied effects, but 8 cases dissatisfied because of theirundue thick skin. Conclusions This method is reliable in the correction of the wide andbulbous nasal tip.