Achieving stable nasal tip projection in Asian rhinoplasty is frequently limited by insufficient septal cartilage, particularly in cases of age-related ossification or post-traumatic septal change.We describe an endonasal technique in which the posterior nasal septum is harvested as a single integrated cartilage-bone unit, preserving the native bone-cartilage junction without separation, and used as an extended columellar strut for tip augmentation.The integrated bony component provides structural rigidity that pure cartilage alone may not offer, reducing the need for supplementary cap grafting and preserving a natural infratip lobule-to-nostril proportion.Candidate selection is guided by preoperative CT assessment of bony thickness and junction integrity at the planned harvest site.Key technical principles include controlled incremental drilling, precise pocket dissection, and avoidance of tensioned fixation to the lower lateral cartilages.We present an illustrative case of a 40-year-old male with post-traumatic partial septal ossification and low nasal tip deformity; we applied this technique and observed satisfactory aesthetic outcome at the 3-month follow-up.This report describes the operative concept and technical approach; however, it does not include outcome data nor does it claim comparative superiority.
Myoung Su Choi (Wed,) studied this question.