The Importance of Tip Support and the Caudal Septal Extension Graft

The dynamics of nasal tip aesthetics and function is a complex balance of inherent cartilage structure and surrounding soft tissue characteristics. A thorough understanding of form and function is paramount in achieving optimal rhinoplasty results. Controlling the appearance and the shape of the nasal tip remains a challenging task for surgeons.This paper discusses the caudal septal extension graft (CSEG) as a useful tool for controlling nasal tip projection, rotation, nasal length, and shape in rhinoplasty. Additionally, we highlight the importance of cephalic turn in flaps as a preservation technique to achieve aesthetic results while maintaining nasal function.We discuss the role of the CSEG in cosmetic and functional rhinoplasty while highlighting improvements in patient-reported outcome measures (PROMs). In conclusion, the CSEG and cephalic turn in flaps demonstrate effective techniques to improve tip control and achieve more predictable and long-lasting rhinoplasty results.