The Shield-Like Septal Extension Graft: A Novel Technique for Nasal Tip Management in Revision Rhinoplasty.

This study introduces the shield-like septal extension graft technique, a novel approach for enhancing tip support, rotation, and projection in revision rhinoplasty cases. The shield-like septal extension graft is positioned in front of the caudal septum, mimicking a shield graft to provide structural reinforcement. The study included 18 patients (12 women and 6 men) with a median follow-up of 12 months (interquartile range: 9 to 15 months). No significant complications were observed, and patients achieved satisfactory aesthetic and functional outcomes. This technique offers a reliable and reproducible solution for managing complex revision rhinoplasty cases by providing superior tip stability, midline alignment, and long-term structural support. The use of costal cartilage ensures sufficient strength, especially in patients with structural deficiencies or thick skin.