Back to 2025 Abstracts
Nasal Tip Stability without Contour Irregularities: The Mastoid Fascia Hybrid Tip Graft
Shaishav Datta
*1, Steven A. Hanna
2, David Mattos
2, Richard Reish
21Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, ON, Canada; 2Manhattan Eye, Ear & Throat Hospital, New York, NY
Background: Rhinoplasty is both a complex and challenging surgical procedure, particularly when it comes to addressing the nasal tip. Our group previously demonstrated the success of a mastoid fascia graft in camouflaging nasal tip contour irregularities, however, sometimes the nasal tip needs more projection. For these patients, we have introduced the hybrid tip graft (HTG) which combines our previously described mastoid fascia tip graft with an underlay of lower lateral cartilage (LLC), to provide additional projection and definition.
Methods: A retrospective analysis of HTG for nasal tip aesthetics during open rhinoplasty in the senior author's practice was conducted from May 2021 to June 2022. The HTG is created with crushed LLC with an overlay of mastoid fascia graft. Patients were included in the study if they underwent open rhinoplasty with HTG with a minimum of 12-months of follow-up. Patients were evaluated for need for revision surgery or infection.
Results: 729 patients met the inclusion criteria, with 666 female patients with an average age of 31.9 years old. Primary rhinoplasties were performed on 510 (70%) patients. Average follow up was 21.9 months (range: 12-36 month). 21 patient (2.9%) required antibiotics for management of post-operative infection. 11 patients (1.5%) required a revision surgery, of which only 2 (0.3%) were initially primary rhinoplasties. Of the revision surgeries, only 4 (0.5%) were revisions that required the tip to be readdressed.
Conclusion: HTG is a safe, novel method to provide additional nasal tip projection, with stable results, that do not compromise the ability to camouflage tip irregularities. This technique can also be used with other soft cartilage when necessary. Use of HTG is associated with minimal morbidity and is a useful, predictable tool in many rhinoplasty patients.
Back to 2025 Abstracts
