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.