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Surgical Pearls
AAFPRS Advances in Rhinoplasty Featured Article
Jul/Aug 2015

Augmentation Shield Grafts

Author Affiliations
  • 1Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 138-736, South Korea
JAMA Facial Plast Surg. 2015;17(4):301-302. doi:10.1001/jamafacial.2015.0316

Augmentation is a key element in Asian rhinoplasty. Most cosmetic rhinoplasties in Asians aim to build up the nasal dorsum and nasal tip to make the nose appear more prominent and defined. Augmentation of the nasal dorsum is usually achieved by placement of a dorsal implant or cartilage graft with or without fascia.1 To properly augment the nasal tip, surgeons have to contend with thick nasal tip skin and weak lower lateral cartilage (LLC) that hamper the desired reshaping of the nasal tip using suture techniques alone.2,3 Tip grafting is therefore an important technique that plays a critical role in augmenting and refining the nasal tip of Asians.

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