Case 1
A 23-year-old female patient presented with a small nose and low tip projection. Dorsal augmentation with a Gore-Tex implant and tip plasty was performed using a non-incisional, back-to-back, bent double-layered conchal cartilage extension graft with a pagoda-shaped onlay graft. Comparisons of preoperative and 24-month postoperative photographs showed that nasal tip projection ratio increased and nasal tip location ratio decreased. In other words, nasal tip projection increased, and tip position was maintained without cephalic rotation (Fig. 4).