This study analyzes the anatomical and aesthetic considerations essential for successful septorhinoplasty in Asian patients. Emphasis is placed on structural reinforcement, dorsal augmentation, and tip projection tailored to ethnic nasal characteristics. The aim is to define key surgical principles that achieve natural, balanced, and culturally appropriate outcomes.

This study emphasizes the critical role of the septal extension graft in achieving stable tip projection and definition in asian rhinoplasty. Due to the weaker cartilage framework and thicker skin envelope in asian noses, SEG provides essential structural support and long-term shape control. The research aims to assess its effectiveness in maintaining aesthetic balance and functional stability postoperatively.

Facial nerve paralysis has significant effects on a patient’s daily social interaction, nevertheless, the functional deficits that the patient experiences with oral incompetence, speech and deglutition can be debilitating. We describe a novel technique “valentine anguloplasty” which involves the excision of skin in the shape of a valentine at the corner of the upper lip on the paralytic side. The technique has been illustrated in the results section. We found that valentine anguloplasty has many advantages, including its ability to lift the corner lip improving static symmetry as well as oral competence. It also provides access to tunnel fascia lata sling from mid-face to anchor to the upper lip, lower lip and oral commissure to help provide further lift to the droopy corner of the lip on the paralytic side.