A Novel Technique: Scored Conchal Cartilage to Simulate Natural Dome of Lower Lateral Cartilage in the Asian Nose

Abstract

Objective: To introduce a novel technique for tip grafting, using scored conchal cartilage with a curled morphology and provide an alternative approach to tip refinement procedures. Methods: Design: Surgical Innovation Setting: Ambulatory Aesthetic Surgical Center Participants: 12 private patients Results: This technique produces a natural looking tip with aesthetically pleasing projection and definition. The simulation of the natural curvature of the lower lateral cartilage (LLC) by curling the SCC gives a more lobular and softer looking tip. The corners of the graft are also hidden underneath the SSTE providing camouflage of irregularities. There were no complications or sequelae (e.g. palpable cartilage and cartilage visibility) observed with the use of this technique. Conclusion: This simple yet novel technique can be applied to Asian patients for a natural looking tip. This technique is applicable to patients with thin skin and gives surgeons an alternative option as they perform tip surgeries. This technique together with other approaches in rhinoplasty may help surgeons achieve a more balanced look for Asian patients.

Keywords

• scored conchal cartilage
• tip plasty
• rhinoplasty
• tip graft
• cartilage grafts
• shield graft