Surgical Technique
January 2008

The Anchor GraftA Novel Technique in Rhinoplasty

Author Affiliations

Author Affiliations: Divisions of Facial Plastic and Reconstructive Surgery, Departments of Otolaryngology–Head and Neck Surgery, University of Missouri, Columbia (Dr Chang), and University of Miami, Miami, Florida (Dr Davis).

Correspondence: C. W. David Chang, MD, Department of Otolaryngology–Head and Neck Surgery, University of Missouri, 1 Hospital Dr, MA314, Columbia, MO 65212 (


Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2008

Arch Facial Plast Surg. 2008;10(1):50-55. doi:10.1001/archfacial.2007.8

We review our use of a modified tip graft that we termed the anchor graft for the correction of nasal tip deformities. This modified infratip shield graft was used to improve alar rim positioning, while simultaneously improving tip projection and/or augmenting infratip fullness. Standardized preoperative and postoperative photographs were taken of each patient. Aesthetic appearance was subjectively judged by the physician and a patient survey. Complications were tabulated. Sixteen patients met the requirements for inclusion in our study. Eleven patients received follow-up for more than 1 year. All patients demonstrated good aesthetic improvement, with only minor complications. No extrusion of the graft was noted. All patients reported a natural-appearing and normal-feeling nose after a minimum follow-up of 6 months. Revision surgery was elected in 4 patients, 2 of whom initially presented as revision cases. The anchor graft is a new technique to aid in cosmetic modification of the nasal tip as well as to improve the functional and aesthetic appearance of the nasal ala and external nasal valve.