ABSTRACT
Many surgeons consider cosmetic rhinoplasty to be one of the most challenging facial
plastic surgical procedures. Open-structure rhinoplasty allows for visualization of
bony-cartilaginous deformities, preservation of nasal structural integrity, and precise
nasal reshaping. The ultimate, external appearance of the nose is the sum of the interaction
of the bony-cartilaginous skeleton and the skin soft-tissue envelope. This article
describes the use of autologous, structural cartilage grafts in primary and secondary
rhinoplasty. Emphasis is placed on the use of septal, auricular, and costal cartilage
grafts to provide for a structurally sound skeletal framework and thereby a predictable
postoperative result. Deformities of the middle and lower third of the nose are specifically
addressed.
KEYWORD
Rhinoplasty - revision rhinoplasty - nasal tip grafting - nasal alar grafting - spreader
grafts - columellar struts
