title: Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage.
abstract: We describe our experience with autogenous septal cartilage onlay grafts for augmentation of the nasal dorsum in primary and secondary rhinoplasty cases. After careful nasofacial analysis, the grafts are custom-shaped into inverted-V-frame, A-frame, or inverted-U-frame grafts, depending on the type and degree of augmentation desired. The dorsal elevation is thus tailored to fit the imperfection at hand, resulting in a smooth, natural-looking nasal contour. The indications for each type of graft are reviewed, and the surgical technique of graft harvesting and carving is detailed and illustrated.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center.
authors.forename: J P
authors.initials: JP
authors.lastname: Gunter
authors.forename: R J
authors.initials: RJ
authors.lastname: Rohrich
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000637:transplantation*; D012225:Rhinoplasty / Q000379:methods*; D014182:Transplantation, Autologous