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Septum Cartilage Grafts to Lengthen Tip?

asked 1 year ago by unhappygal in milwaukee/san francisco
Latest answer by William Portuese, MD
Question viewed 917 times
Tags: cartilage, graft, lengthen, septum, tip

Can you use septum cartilage to lengthen the tip or does it have to be ear or rib? It'd be about a millimeter and how do you turn the tip down a little?

15 answers to Septum Cartilage Grafts to Lengthen Tip?

+1

Septal cartilage to lengthen the nose.

Septal cartilage can do both lengthening and derotation of the nose. See an experienced rhinoplasty surgeon for the best results.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+2

Lenthening the nose

Noses can be lengthened. although its less common than shortening the nose. The algorithm is- use tip cartilage repositioning techniques first, then add cartilage from the septum, or ear and finally rib. Please see an experienced Rhinoplasty surgeon. Good luck.
Oakley Smith, MD

Toronto Facial Plastic Surgeon

www.droakleysmithrhinoplasty.com

+1

Septal cartilage graft preferred for nasal tip surgery

Septal cartilaginous grafts are the best source of cartilage for any type of nasal tip surgery. It is the preferred type of cartilage for cosmetic or reconstructive rhinoplasty procedures. If the nose cartilage has been depleted the second best option is ear cartilage. The next best option after that is rib cartilage. However, rib has a disadvantage of being very stiff, it warps, and can make the tip feel very hard and wood like.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Cartilage or fillers may lengthen nose

Lengthening a nose is dependent on several factors, tightness of the skin, and existing framework. If a patient has some looseness of the skin, injecting a filler may help to lengthen the tip. Crushed cartilageor cartilage graft  from the septum or ear can acheive the goals as well, however require a surgical procedure.
Brian Maloney, MD

Atlanta Facial Plastic Surgeon
+1

Lengthening the nose

Using septal cartilage to lengthen the nose and turn it down is an unusual request.  Our usual request is to shorten the nose and turn the tip up slightly.  This is because those elements give a more youthful and aesthetic appearance.  A longer and down-turned nose generally is felt to look older and less aesthetic.  Having said all this, yes, the cartilage manipulation can be used to approximate what you  desire.  I would suggest video imaging to... more
Talmage J. Raine, MD

Chicago Plastic Surgeon
+1

Septal Cartilage Grafts to Lengthen Nose

Yes, septal cartilage grafts, if available, can be used to lengthen your nose. If you only need "one millimeter" of lengthening, a graft may not  be necessary -  repositioning the tip might achieve the desired result.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Nasal Septal Cartilage Grafts Are Used to Lengthen Short Nose

Hi Unhappy Gal, Yes, nasal septal cartilage can be used to lengthen the nose.  The tip can be de-rotated in a number of different ways.  Best to consult with a few experienced rhinoplasty specialists, and then choose your rhinoplasty surgeon most carefully.  Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Nasal septal cartilage is the best choice

Nasal septal cartilage would be the best and first-line choice for any grafts used during rhinoplasty. That being said, depending on what goals you're looking to achieve and the quality of the cartilages supporting your tip currently, a determination would be made regarding if any grafts would be necessary in the first place. For example, turning a tip down or counter-rotation may or may not require a cartilage graft.
Corey S. Maas, MD

San Francisco Facial Plastic Surgeon
+1

Septal Extension Grafts

Septal cartilage is the ideal material to use when the septum needs to be lenghtened or modified. This is not an unusual procedure in revision rhinoplasty, and some initial rhinoplasty operations. When septal cartilage is not available, ear or rib cartilage can be used.
Ira D. Papel, MD

Baltimore Facial Plastic Surgeon
+1

Use of cartilage in rhinoplasty

It is actually preferable to use septal cartilage for rhinoplasty over both rib and ear cartilage especially if there is cartilage there to work with. It is the most durable and predicable to use for grafting in nasal surgery and works very well on the tip or along the dorsum or top of the nose. In addition, to lower the tip there are many techniques available from dropping the septum to lowering the cartilages that make up the tip itself. I hope this information helps.
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

Septal cartilage for rhinoplasty grafting

Septal cartilage is probably the ideal graft material for the nose.  I would find it unusual to bypass the septum to use ear or rib cartilage instead (except in special cases). 
Matthew Bridges, MD

Richmond Facial Plastic Surgeon

www.matthewbridgesmd.com

+1

Septal Cartilage Grafting for Tip Reshaping

In cases of primary septo-rhinoplasty (where this is the first nose reshaping procedure), septal cartilage is actually the preferred material for lengthening the tip when it comes to grafting techniques. This same cartilage grafting technique can also be used to counter rotate the tip, or bring it down a bit. Ear and rib cartilage grafting are usually reserved for rhinoplasty patients who have had prior resection and use of their septal cartilage. Make sure you consult with a specialist in... more
John M. Hilinski, MD

San Diego Facial Plastic Surgeon

www.drhilinski.com

+1

Nasal septal cartilage

Nasal septal cartilage is a very good choice for cartilage grafts to the nose.  They are usually  my first choice of material and could be used to lengthen the nose.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Lengthening the tip of the nose

The amount that you are requesting to lengthen your tip is small and there are a variety of procedures which might be able to achieve your goal.  Certainly carilage grafts are an option and borrowing from the septum is often the easiest place to obtain cartilage.  However small changes can sometimes be made with a filler instead of an operation.  Ask your surgeon.
Darrick E. Antell, MD

Manhattan Plastic Surgeon
+1

Nose Septum is often the source for Cartilage Grafts in Nose Surgery

Regarding: "Septum Cartilage Grafts to Lengthen Tip?  Can you use septum cartilage to lengthen the tip or does it have to be ear or rib? It'd be about a millimeter and how do you turn the tip down a little?" Cartilage grafts from the central part of the septum are the most commonly used source of grafts to the nose. They can be used to raise the tip (umbrella graft) lengthen the nose (spreader grafts) and for many other applications in nose surgery. Ear is often used... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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