[Skip to Navigation]
March 1994

A Graduated Method of Tip Graft Fixation in Rhinoplasty

Author Affiliations

Houston, Tex

Arch Otolaryngol Head Neck Surg. 1994;120(3):369-370. doi:10.1001/archotol.1994.01880270093018

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


At the fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Ira D. Papel, MD, Baltimore, Md, presented the above-mentioned paper. Dr Papel noted that tip projection has gained increased recognition as an integral factor in successful aesthetic and reconstructive rhinoplasty, and tip cartilage grafting has become one of the major methods of obtaining increased tip projection. Earlier techniques of tip grafting relied only on pocket fixation, while the population of open rhinoplasty has revealed the stability and ease of direct suture fixation of tip grafts to the nasal framework. Recognizing that not all rhinoplasties will require an open technique, the author has sought to classify and categorize the deficiency of tip projection and develop indications for specific tip-grafting techniques based on this classification. Dr Papel's study involved 309 rhinoplasties performed from 1989 through 1992. All patients underwent initial consultation, photography, and/or computer imaging. Nasal-tip projection ratio

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution