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CC BY-NC 4.0 · Arch Plast Surg 2014; 41(01): 19-28
DOI: 10.5999/aps.2014.41.1.19
Topic: Septal Extension Graft

Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty

Jae Yong Jeong
PLUS Aesthetic Surgery Clinic, Daejeon, Korea
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Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose. The success rate of this method has led to the blind faith that it provides superior tip projection and definition, and to the failure to notice its weaknesses. Even if there is a sufficient amount of cartilage, improper separation or fixation might waste the cartilage, resulting in an inefficient operation. Appropriate resection and effective fixation are essential factors for economical rhinoplasty. The septal extension graft is a remarkable procedure since it can control the nasal tip bidirectionally and three dimensionally. Nevertheless, it has a serious drawback since resection is responsible for septal weakness. Safe resection and firm reconstruction of the framework should be carried out. Operating on the basis of the principle of "safe harvest" and rebuilding the structures is important. Further, it is important to learn several techniques to manage septal weakness, insufficient cartilage quantity, and failure of the rigid frame during the surgery.

Keywords

Rhinoplasty - Nasal septum - Ear cartilage - Nose deformities, Acquired

I would like to express my sincere gratitude to Dr. Sangmun Choi for his linguistic assistance in the preparation of this manuscript.




Publication History

Received: 11 September 2013

Accepted: 02 November 2013

Article published online:
02 May 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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