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A Simplified Use of Septal Extension Graft to Control Nasal Tip Location

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Abstract

Background

For defining the shape and projection of the nasal tip, the bilateral and symmetric batten-type septal extension grafts proposed by Byrd and colleagues have drawbacks. The main problems are stiffness of the nasal tip and thickening of the septum in the nasal valve area.

Methods

Since 1998, unilateral single-batten grafts, and more frequently, bilateral asymmetric batten grafts as compared with Byrd’s bilateral symmetric application, have been used for 72 patients in our facility.

Results

At the 6-month postoperative follow-up assessment, tip projection was found to be satisfactory in 61 patients. Less than desired projection occurred in three cases and overprojection in two cases. Nasal lobule deviation was evident in one patient. The loss of the columellar break point was evident in five cases.

Conclusion

Unilateral or asymmetric bilateral batten grafts facilitate adjustment of the nasal tip intraoperatively. This technique results in a more pliable nasal tip in the horizontal plane. Construction of a three-layered cartilage in the nasal valve area is not needed, and the nasal airway is preserved. With this modification, a reliable and predictable nasal tip location is obtained with a minimum of graft usage.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Celal Bayar University, Medical Faculty, 45010, Manisa, Turkey

    Ahmet Seyhan M.D., Sema Ozden M.D., Ummahan Ozaslan M.D. & Emin Sir M.D.

Authors
  1. Ahmet Seyhan M.D.
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  2. Sema Ozden M.D.
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  3. Ummahan Ozaslan M.D.
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  4. Emin Sir M.D.
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Correspondence to Ahmet Seyhan M.D..

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Seyhan, A., Ozden, S., Ozaslan, U. et al. A Simplified Use of Septal Extension Graft to Control Nasal Tip Location. Aesth Plast Surg 31, 506–511 (2007). https://doi.org/10.1007/s00266-006-0183-8

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  • DOI: https://doi.org/10.1007/s00266-006-0183-8

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