Figures legends
Fig. 1. Non-incisional, back-to-back, bent double-layered conchal cartilage and pagoda-shaped onlay graft (A) Harvested entire cymba-cavum concha complex (B)~(D) Double layered conchal cartilage without any incision or cutting, several horizontal mattress sutures are placed. (E), (F) Pagoda-shaped onlay graft.
Fig. 2. Intraoperative photographs of the non-incisional, back-to-back, bent double-layered conchal cartilage extension graft. The columellar strut graft is placed in the intercrural space, where spreader grafts are anchored to one or both sides of the anterior part of the strut graft. (A) Anteroposterior view, (B) Lateral view
Fig. 3. Anthropometric analysis using Illustrator software.
Nasal tip projection(a) was measured from the alar crease to the nasal tip (maximal distance from alar base to the nasal tip). The nasal tip location (b) was defined as the distance between the point perpendicular to the facial plane in the nasal tip and the point from the facial plane to the oral commissure. Distance between the oral commissure and the upper margin of Cupid’s bow was measured for standardization(c). Nasolabial angle (\(\theta\)) was defined as the angle between a line drawn through the anterior and posterior ends of the nostril and the vertical facial plane.
G , glabella; P , pogonion; NTP, Nasal tip projection
Fig. 4. Case 1: (left) preoperative and (right) postoperative views at 24 months after open rhinoplasty. Dorsal augmentation with a Gore-Tex implant and tip plasty using a non-incisional, back-to-back, bent double-layered conchal cartilage extension graft with a pagoda-shaped onlay graft were performed.
Fig. 5 Case 2: (left) preoperative and (right) postoperative views at 22 months after open rhinoplasty. Dorsal augmentation with a Gore-Tex implant and tip plasty with a non-incisional, back-to-back, bent double-layered conchal cartilage extension graft with a pagoda-shaped onlay graft were performed.