ABSTRACT
The nose can be divided into thirds. The dorsum comprises the nasal bones as the upper third and the dorsal septum with the attached upper cartilages (UCs) as the middle third. Most aesthetic deformities of the nasal bone are low radix and wide nasal bone base. A low radix can be augmented with soft-tissue material such as fascia or softened cartilage or synthetic material, e.g. silicone or expanded polytetrafluoroethylene (e-PTFE) (popularly known as Gore-Tex). A wide nasal bone can be corrected with medial and lateral osteotomies. Cartilage may also be used in dorsal augmentation. Dermofat from the sacrococcygeal area may sometimes be used as augmentation material. Homograft materials such as cartilage and dermis are gaining popularity nowadays because of least reaction; however, the cost is prohibitive. Closed rhinoplasty approach is considered a minimally invasive type of surgery. For nasal augmentation, a marginal or infracartilaginous incision is done.
