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Updated: Feb 7, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Septal Extension Graft in Asian Rhinoplasty
Na-Hyun Hwang1, Eun-Sang Dhong1
1Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Guro Hospital, Korea University Medical Center, 148, Gurodong-ro, Guro-Gu, Seoul 152-703, Republic of Korea.
Abstract:
A septal extension graft (SEG) can control nasal tip projection, shape, and rotation. SEG and dorsal alloplastic implants have predominated in Asian rhinoplasty, leading to iatrogenic complications such as a foreshortened nose and destruction of remaining septum. The lower nasal two-thirds can be enhanced anteriorly and caudally using the septal L-strut extension graft in Asians with relatively small noses. The septal L-strut extension graft is indicated in primary cases in which the bony dorsum is acceptable but the cartilaginous dorsum is relatively hypoplastic, and in secondary cases with an iatrogenic short-nose deformity due to alloplastic implants.
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