Caudal Septal Advancement for Nasal Tip Projection and Support in Rhinoplasty

Background Management of nasal tip projection and support for positioning of the tip represent an important part of rhinoplasty operations that must be handled properly for a final satisfying result. Manipulation of the nasal tip is complex and variable. Plastic surgeons use many techniques to achieve this goal. Methods The authors propose that the caudal septal advancement technique be used to manipulate the positioning of the nasal tip, especially in cases of an underprojected tip and those requiring tip support. The authors prepare a rectangular septal cartilage, which after advancement carries the nasal tip to the desired position. Results This technique is easy to use, and the results are dependable. All the patients who underwent surgery with this technique were satisfied with the result. Conclusion The caudal septal advancement technique presents another good and reliable alternative for managing nasal tip projection and support. Presented at the 10th Congress of European Society of Plastic Reconstructive and Aesthetic Surgery 2005, 30 August to 3 September 2005, Vienna, Austria