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Rhinoplasty Grafts: Surgical Utility Versus Patient-Perceived Aesthetic Impact.

Mustafa Yazir1, Nuray Bayar Muluk2, Furkan Kaya3

  • 1Yazir Private Otorhinolaryngology Clinic, Izmir, Türkiye.

The Journal of Craniofacial Surgery
|March 18, 2026
PubMed
Summary

Nasal tip grafts significantly improve rhinoplasty outcomes and patient satisfaction. Specific grafts like shield and tongue-in-groove showed superior results, though overall success depends on multiple factors beyond graft choice.

Keywords:
Alar batten graftalar rim graftcaudal septal extension graftcolumellar strutrhinoplastyrhinoplasty outcome evaluation (ROE) scoresshield grafttip graftstip onlay grafttongue-in-groove

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery
  • Rhinoplasty Research

Background:

  • Nasal tip grafting is crucial for rhinoplasty outcome evaluation (ROE).
  • Various grafts aim to enhance tip support and aesthetics.
  • Assessing graft efficacy requires objective and subjective measures.

Purpose of the Study:

  • To investigate the efficacy of different nasal tip grafts in rhinoplasty.
  • To evaluate the impact of grafts on patient-reported outcomes and facial angles.
  • To analyze the contribution of grafts to overall rhinoplasty success.

Main Methods:

  • Open rhinoplasty patients (n=510) receiving diverse tip grafts were analyzed.
  • Grafts included alar batten, alar rim, caudal septal extension, columellar strut, shield, tongue-in-groove, and tip-onlay.
  • Preoperative, early, and late postoperative data were collected, including ROE scores and facial angles.

Main Results:

  • Graft recipients showed statistically significant improvements in questionnaire scores (P<0.001).
  • Shield, tongue-in-groove, and tip-onlay grafts demonstrated superior outcomes.
  • Significant changes in nasolabial and nasofrontal angles were observed with specific grafts, though nasofrontal angle changes were linked to dorsal hump reduction.

Conclusions:

  • Patient satisfaction in rhinoplasty is multifactorial, not solely dependent on graft selection.
  • Comprehensive preoperative counseling and holistic outcome assessment are vital.
  • Further research with controlled variables is needed to isolate the impact of specific grafting techniques on aesthetic results.