IMPORTANCE Augmentation rhinoplasty is common in the Asian population and the lack of suitable autologous material for augmentation has led to the use of alloplastic materials. Many of these patients develop complications, including a depressed dimple-like scar of the nasal tip. Causes of such dimpling include the use of large implants, infection, extrusion, and surgeon incompetence.OBJECTIVE To describe the various techniques that can be used to correct dimpling of the nasal tip.
Rhinoplasty is an art of not only achieving structural integrity of nasal form but also maintaining functional aspects of breathing. To achieve this, autograft, allograft, and synthetic materials are used as various components of nasal structure for augmentation or correction. 1,2 Despite various synthetic materials giving promising results and compatibility, cartilage grafting remains the most reliable method. East Asian populations have short, flat noses with weak, insufficient cartilage. 3 Therefore, costal cartilage is the best option for repair. Although costal cartilage is good for such cases, an adequate fixing technique will make it more reliable. In the present study, one of us (D.-H.J.) adapted a technique that is commonly used by carpenters to stabilize a joint without affecting the thickness of wooden blocks, termed half-lap joints.
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