{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:07:50Z","timestamp":1789085270571,"version":"build-2803163510"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septal extension grafts (SEGs) are widely used in structural rhinoplasty to provide stable control of nasal tip projection and rotation. However, conventional fixation methods may increase cartilage consumption, intranasal bulk, and the potential for asymmetry. The Slice Extension (SE) graft was developed as a cartilage-preserving modification of the SEG that maintains graft continuity while creating an embracing fixation pattern around the caudal septum.<\/jats:p>\n                  <jats:p>The objective of this study is to describe the SE graft and evaluate its clinical performance in a case series of patients undergoing rhinoplasty. We hypothesized that the SE graft would provide stable nasal tip support while preserving cartilage length and maintaining graft centralization.<\/jats:p>\n                  <jats:p>This is a retrospective case series.<\/jats:p>\n                  <jats:p>Forty-one patients undergoing primary or secondary rhinoplasty with the SE graft between 2023 and 2026 were included. Minimum follow-up was 12 months. Demographic data, postoperative complications, revision procedures, and patient-reported satisfaction were reviewed. Outcomes included tip deviation, overrotation, nostril asymmetry, nasal obstruction, infection, and fixation-related instability.<\/jats:p>\n                  <jats:p>Forty-one patients were included in the study, comprising 18 male and 23 female patients. Mean age was 31.3\u2009\u00b1\u20098.8 years (range, 18\u201353). At 12-month follow-up, 36 patients (87.8%) reported satisfaction with nasal tip appearance and support. Revision surgery related to nasal tip appearance was required in two patients (4.8%), including one minor and one major revision procedure. Postoperative complications were infrequent. No cases demonstrated clinically significant fixation failure or loss of nasal tip support during the follow-up period.<\/jats:p>\n                  <jats:p>The SE graft provided predictable control of nasal tip projection and rotation with acceptable complication and revision rates. By preserving graft continuity and minimizing cartilage loss for fixation, the technique may offer a reproducible alternative to conventional SEG fixation in selected patients.<\/jats:p>","DOI":"10.1055\/a-2940-5404","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:48:31Z","timestamp":1787269711000},"source":"Crossref","is-referenced-by-count":0,"title":["The Slice Extension Graft: A Cartilage-Preserving Modification of the Septal Extension Graft"],"prefix":"10.1055","author":[{"given":"Carlos Alberto","family":"Caropreso","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo University (USP), S\u00e3o Paulo, Brazil","place":["Sao Paulo"],"department":["Department of Facial Plastic Surgery Ophthalmology, and Otorhinolaryngology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Luiz Teixeira","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo University (USP), S\u00e3o Paulo, Brazil","place":["Sao Paulo"],"department":["Department of Facial Plastic Surgery Ophthalmology, and Otorhinolaryngology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Maria","family":"Astudillo","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo University (USP), S\u00e3o Paulo, Brazil","place":["Sao Paulo"],"department":["Department of Facial Plastic Surgery Ophthalmology, and Otorhinolaryngology"]},{"name":"JMA Centro de Otorrino y Cirug\u00eda Pl\u00e1stica Facial, Ecuador","place":["Cuenca"],"department":["Department of Facial Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3144-5331","authenticated-orcid":false,"given":"Rafael","family":"Porpino","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo University (USP), S\u00e3o Paulo, Brazil","place":["Sao Paulo"],"department":["Department of Facial Plastic Surgery Ophthalmology, and Otorhinolaryngology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Helena","family":"Ciancio","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo University (USP), S\u00e3o Paulo, Brazil","place":["Sao Paulo"],"department":["Department of Facial Plastic Surgery Ophthalmology, and Otorhinolaryngology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Carlos","family":"Neves","sequence":"additional","affiliation":[{"name":"S\u00e3o Paulo University (USP), S\u00e3o Paulo, Brazil","place":["Sao Paulo"],"department":["Department of Facial Plastic Surgery Ophthalmology, and Otorhinolaryngology"]},{"name":"MyFace Clinic, Portugal","place":["Lisbon"],"department":["Department of Facial Plastic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"issue":"01","key":"ref1","first-page":"367e","article-title":"Nasal tip anatomy and aesthetics: modern concepts for rhinoplasty","volume":"128","author":"R J Rohrich","year":"2011","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref2","first-page":"1","article-title":"The osseocartilaginous vault of the nose: anatomy and surgical implications","volume":"43","author":"P Palhazi","year":"2016","journal-title":"Clin Plast Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S1043-1810(05)80008-9","article-title":"Caudal septal extension graft for correction of the retracted columella","volume":"6","author":"D M Toriumi","year":"1995","journal-title":"Oper Tech Otol Head Neck Surg."},{"issue":"04","key":"ref4","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":"ref5","doi-asserted-by":"crossref","first-page":"927e","DOI":"10.1097\/PRS.0000000000006730","article-title":"Changing role of septal extension versus columellar grafts in modern rhinoplasty","volume":"145","author":"R J Rohrich","year":"2020","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1097\/PRS.0000000000010147","article-title":"Superiority of the septal extension graft over the columellar strut graft in primary rhinoplasty: improved long-term tip stability","volume":"152","author":"J L Bellamy","year":"2023","journal-title":"Plast Reconstr Surg"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"2352","DOI":"10.1016\/j.bjps.2022.02.017","article-title":"Columellar strut grafts versus septal extension grafts during rhinoplasty for airway function, patient satisfaction and tip support","volume":"75","author":"A Lathif","year":"2022","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1055\/a-2689-1496","article-title":"Comparative outcomes of septal extension versus columellar strut grafts for nasal tip stabilization and positioning in rhinoplasty: a systematic review and meta-analysis","volume":"42","author":"I Ozgenc","year":"2026","journal-title":"Facial Plast Surg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1097\/01.PRS.0000042205.27330.E4","article-title":"Septal crossbar graft for the correction of the crooked nose","volume":"111","author":"A Boccieri","year":"2003","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"29","DOI":"10.5999\/aps.2014.41.1.29","article-title":"An introduction to the septal extension graft","volume":"41","author":"M H Kim","year":"2014","journal-title":"Arch Plast Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1097\/01.PRS.0000049637.42449.80","article-title":"Lengthening the nose with a tongue-and-groove technique","volume":"111","author":"B Guyuron","year":"2003","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1007\/s00266-018-1219-6","article-title":"Nasal elongation with septal half extension graft: modification of conventional septal extension graft using minimal septal cartilage","volume":"42","author":"S H Lee","year":"2018","journal-title":"Aesthetic Plast Surg"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"e383","DOI":"10.1055\/s-0040-1709193","article-title":"The horn technique for nasal tip support in rhinoplasty","volume":"25","author":"L CM Barboza","year":"2021","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/PRS.0b013e3181934693","article-title":"Nasal tip surgery using a modified septal extension graft by means of extended marginal incision","volume":"123","author":"J G Kang","year":"2009","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1007\/s00266-021-02397-y","article-title":"Effect of septal extension graft on creating and maintaining tip rotation in tongue-in-groove technique: a case control study","volume":"46","author":"A K Sazgar","year":"2022","journal-title":"Aesthetic Plast Surg"},{"issue":"03","key":"ref17","first-page":"1059","article-title":"Lateral crura control in nasal tip plasty: cephalic oblique domal suture, 7X suture and ANSA banner","volume":"4","author":"J C Neves","year":"2020","journal-title":"Ann Plast Reconstr Surg"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1001\/jamafacial.2014.1370","article-title":"The effect of polydioxanone absorbable plates in septorhinoplasty for stabilizing caudal septal extension grafts","volume":"17","author":"B P Caughlin","year":"2015","journal-title":"JAMA Facial Plast Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2940-5404.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T23:24:02Z","timestamp":1789082642000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2940-5404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":17,"URL":"https:\/\/doi.org\/10.1055\/a-2940-5404","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8,20]]},"published":{"date-parts":[[2026,8,20]]}}}