Septal extensor 2024 with costal cartilage: the use of aesthetic parameters and dynamics, in primary Rhinoplasty, an advanced surgical technique of the nasal tip

Abstract

Adjusting the lower third of the nose can be considered the most complicated part of nose surgery.  The caudal septal edge is usually located behind the nasal spine without direct contact; Additionally, thick skin contributes to limited definition of the nose, especially at the nasal tip. Repairing these problems and their consequences represents a genuine challenge for the cosmetic surgery surgeon, especially considering the importance of correcting imperfections in the bone and cartilaginous structure of the nose, including alterations in the nasal cartilages themselves, such as the partial or complete lack of the same, which may be the result of a process of absorption or necrosis of the tissues. The purpose of this document is to explain the use of costal cartilage as implant in the nasal tip during a primary rhinoplasty as part of aesthetic surgery of the nose, with the purpose of supporting an innovative technique called Septal Extender 2024. A novel surgical technique is presented and also carried out a retrospective descriptive analysis by reviewing medical records, surgical procedures for primary nasal tip rhinoplasty with Septal extender 2024.