{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:30Z","timestamp":1787004870992,"version":"build-2736575974"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aims to review contemporary principles of structural nasal tip grafting and provide a practical framework for selecting techniques that achieve durable aesthetic and functional outcomes.<\/jats:p>\n                  <jats:p>We summarize the evolution from reduction rhinoplasty toward preservation and structural approaches that prioritize long-term tip support.<\/jats:p>\n                  <jats:p>Key osteocartilaginous and soft tissue support mechanisms of the nasal tip are outlined with emphasis on major and minor tip support structures.<\/jats:p>\n                  <jats:p>Open and endonasal approaches, autologous cartilage sources, and ancillary materials such as fascia are described as tools to modify tip contour and support.<\/jats:p>\n                  <jats:p>Clinical assessment focuses on skin\u2013soft tissue envelope, cartilage strength, airway function, and dynamic deformities.<\/jats:p>\n                  <jats:p>Stepwise algorithms for columellar strut and septal extension grafts, plumping grafts, alar rim and batten grafts, lateral crural struts, shield and cap grafts, and articulated alar rim grafts are presented.<\/jats:p>\n                  <jats:p>Postoperative management to protect graft position and control edema is reviewed.<\/jats:p>\n                  <jats:p>Emerging trends toward individualized, data-informed rhinoplasty and objective outcomes assessment are discussed.<\/jats:p>\n                  <jats:p>Thoughtful selection and execution of structural tip grafts allow surgeons to achieve stable, reproducible tip shape while optimizing nasal airway function.<\/jats:p>","DOI":"10.1055\/a-2764-3269","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T00:03:28Z","timestamp":1764979408000},"page":"312-321","source":"Crossref","is-referenced-by-count":2,"title":["Structural Nasal Tip Grafting: Anatomy, Evaluation, and Technique Selection for Durable Aesthetic and Functional Outcomes"],"prefix":"10.1055","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4888-3343","authenticated-orcid":false,"given":"Nam K.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, University of Colorado at Anschutz Medical Campus, Aurora, Colorado, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9512-0528","authenticated-orcid":false,"given":"Andrew A.","family":"Winkler","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, University of Colorado at Anschutz Medical Campus, Aurora, Colorado, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1097\/00006534-199202000-00002","article-title":"The nasal tip: Anatomy and aesthetics","volume":"89","author":"R K Daniel","year":"1992","journal-title":"Plast Reconstr Surg"},{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1097\/00006534-200106000-00034","article-title":"The boxy nasal tip: Classification and management based on alar cartilage suturing techniques","volume":"107","author":"R J Rohrich","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"ref3","volume-title":"Aesthetic Rhinoplasty","author":"J H Sheen","year":"1998","edition":"2nd ed."},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1177\/0194599811427386","article-title":"Determining the most suitable costal cartilage level for rhinoplasty: An experimental study","volume":"146","author":"Z Alkan","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1001\/archfaci.2011.54","article-title":"Tensile characteristics of costal and septal cartilages used as graft materials","volume":"13","author":"Z Alkan","year":"2011","journal-title":"Arch Facial Plast Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1097\/00006534-199709001-00026","article-title":"Septal extension grafts: A method of controlling tip projection shape","volume":"100","author":"H S Byrd","year":"1997","journal-title":"Plast Reconstr Surg"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1055\/s-0040-1717081","article-title":"Management of ala columella disproportion in South East Asian noses","volume":"36","author":"E Yap","year":"2020","journal-title":"Facial Plast Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1055\/s-2006-954845","article-title":"Nasal valves\u2013importance and surgical procedures","volume":"22","author":"H Fischer","year":"2006","journal-title":"Facial Plast Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1007\/s00266-009-9349-5","article-title":"Alar batten cartilage graft: Treatment of internal and external nasal valve collapse","volume":"33","author":"V Cervelli","year":"2009","journal-title":"Aesthetic Plast Surg"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1001\/archfaci.1.4.312","article-title":"The contoured auricular projection graft for nasal tip projection","volume":"1","author":"J P Porter","year":"1999","journal-title":"Arch Facial Plast Surg"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/PRS.0000000000011648","article-title":"Mastoid fascia tissue graft as a tip camouflage technique in rhinoplasty: A reliable alternative to soft cartilage grafts","volume":"155","author":"B Tugertimur","year":"2025","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.fsc.2014.09.003","article-title":"Lateral crural tensioning for refinement of the wide and underprojected nasal tip: Rethinking the lateral crural steal","volume":"23","author":"R E Davis","year":"2015","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1089\/fpsam.2022.0076","article-title":"Patient-reported functional and aesthetic outcomes of underlay articulated alar rim grafts in functional septorhinoplasty","volume":"25","author":"E Nguyen","year":"2023","journal-title":"Facial Plast Surg Aesthet Med"}],"container-title":["Facial Plastic 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