How is an under-projected tip fixed during rhinoplasty?
We utilize an open rhinoplasty approach for fixing under-projection. In most cases we add a cartilage graft to the end of the septum and then lift the tip cartilages and secure them to this graft in a more projected position. In cases of a pre-existing long septum this can be done without the graft. In more severe cases, we may place a graft of cartilage directly on the nasal tip, called a tip graft. Smaller degrees of projection may be obtained with dome cartilage suture techniques.
Posted by Dr. Buckingham