Tip Grafting for the Asian Nose

Yong Ju Jang; Sung Hee Kim

doi:10.1016/j.fsc.2018.03.008

Tip Grafting for the Asian Nose

Facial Plast Surg Clin North Am. 2018 Aug;26(3):343-356. doi: 10.1016/j.fsc.2018.03.008.

Authors

Yong Ju Jang¹, Sung Hee Kim²

Affiliations

¹ Department of Otolaryngology, Asan Medical Centre, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Republic of Korea. Electronic address: jangyj@amc.seoul.kr.
² Department of Otolaryngology, National Medical Centre, Seoul, Republic of Korea.

PMID: 30005790
DOI: 10.1016/j.fsc.2018.03.008

Abstract

Tip surgery during rhinoplasty is particularly difficult in Asians. Tip grafting is the best approach. Conchal cartilage with perichondrium and costal cartilage are powerful grafting materials. The most important grafting techniques are tip-onlay grafting, shield grafting, and multilayer tip grafting. Tip-onlay grafts are useful for dorsal convexity. Shield grafts require sufficient support to prevent bending. Multilayer tip grafts (usually 2 layers) are versatile. Asians vary in cartilage configuration, skin thickness, and aesthetic desires: tip-grafting strategies must be tailored to meet the aesthetic goals of individuals. Tip-grafting complications (eg, visible graft contour and infection) are not uncommon and should be considered.

Keywords: Asian rhinoplasty; Multilayer tip grafting; Shield graft; Tip grafting; Tip onlay graft.

Publication types

Review

MeSH terms

Asian People
Costal Cartilage / transplantation
Humans
Nasal Cartilages / surgery*
Nose / surgery*
Nose Deformities, Acquired / surgery*
Rhinoplasty / methods*
Turbinates / transplantation