The Application of Ball Shaped Diced Conchal Cartilage Wrapped With Dermofat in Tip Plasty

Abstract

Background: Based on previous reports, in comparison with Caucasian, nose anatomy has features that have to be considered by surgeons during the tip augmentation in Asian patients. Weak alar cartilages, thick soft-tissue envelope, and bifid-like tip in most cases. This case report demonstrates our experience of using ball-shaped diced conchal cartilage during the tip plasty in Asian patients. Case report: Twenty-seven-year-old female patient underwent tip plasty augmentation with ball shaped diced cartilage wrapped with dermofat. There were no complications in postoperative period. Discussion: Based on the Asian nasal anatomy features, surgeons commonly use septal extension graft in tip projection and derotation. However, it is still challenging to perform it in patients with septal cartilage insufficiency. In this case report, the authors introduce the alternative surgical option for nasal tip augmentation. The ball shaped cartilage autologous implant can be successfully used in tip plasty.