- Incisions
- Hump removal
- Nasal septum
- Tip narrowing
- The nasal bones
- Splint
- Tip support
- Shorten the nose
- The nasal spine
- Revision surgery
- The nasion
- Odd cartilages
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Rhinoplasty tutorial >> Tip support >> page 13
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That piece of bone can
be nibbled with a tool until it has the shape of a weak cartilage tip graft
carved from ear cartilage. The weak ear cartilage graft is pink, and the
piece of bone taken from the septum is green in the diagram. See what's
coming? We're going to use the strength of the thin bone to buttress the
weak ear cartilage.
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The bone (green) is now
glued to the cartilage (pink) with the medical version of super glue. This piece
of cartilage, previously floppy, is now quite strong, and easily strong enough
to serve as a tip graft. The bone is thin enough that when I am stitching
the graft in position, the needle can be passed right through the bone.
Note also that the bone resides inside the borders of the cartilage around the perimeter, especially at the top of the graft, by the black arrow. That way, the skin of the tip of the nose will rest on the thicker, softer cartilage, and not on the sharp edge of bone, which could be a problem. |
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Our graft of bone and cartilage, seen edge-on, shows the
relative thickness of the thin bone (green in the diagram) and the thicker cartilage
below.
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Clear all red checks in the Rhinoplasty Tutorial |
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