The L-Shaped Septocolumellar Extension Graft: A Multi-Point Fixation Technique for Nasal Tip Stabilization
09-09, 14:30–14:37 (Europe/Istanbul), Facial Plastic 1

<p>Achieving durable nasal tip stabilization remains a central challenge in septorhinoplasty, particularly in patients with weak cartilage support, revision cases, or those requiring precise control of tip projection and rotation. Conventional septal extension grafts and suspension-based techniques often rely on indirect load transfer and lack intrinsic columellar support, which may limit long-term stability and predictability. These limitations highlight the need for a structurally integrated, load-bearing solution that provides direct and sustained support to the nasal tip framework.</p> <p>This proposal presents the L-Shaped Septocolumellar Extension Graft (LS-SCEG) technique, a refined structural approach that combines the functions of a septal extension graft and a columellar strut into a single, integrated unit. The graft is designed in an L-shaped configuration and secured through multi-point fixation to four critical anatomical landmarks: the caudal septum, the spreader graft–septal junction, the medial crura, and the nasal tip framework. This configuration establishes a direct septocolumellar support column, allowing controlled distribution of mechanical forces across the nasal tip complex rather than reliance on suspension or single-point anchoring mechanisms.</p> <p>The primary objective of this project is to describe the surgical design principles, fixation strategy, and technical steps of the LS-SCEG technique and to evaluate its effectiveness in providing stable nasal tip support in septorhinoplasty. The technique aims to improve control over nasal tip projection, rotation, and midline alignment while maintaining structural integrity over time. Secondary objectives include assessing the reproducibility of the technique, intraoperative handling characteristics, and early postoperative outcomes related to tip stability and alignment.</p> <p>By functioning as a load-bearing septocolumellar unit, the LS-SCEG is expected to address key shortcomings of existing techniques, particularly in cases where durable tip support is essential. The anticipated outcome is the establishment of a clearly defined, anatomically grounded technique that offers predictable nasal tip stabilization and expands the surgical options available to rhinoplasty surgeons. This proposal seeks to contribute a distinct conceptual and technical framework to the septorhinoplasty literature, providing a foundation for further clinical evaluation and broader adoption of the technique.</p>
<p>The purpose of this proposal is to introduce and evaluate the L-Shaped Septocolumellar Extension Graft as a load-bearing, multi-point fixation technique for reliable nasal tip stabilization in septorhinoplasty. This project aims to define its surgical design, fixation principles, and early clinical outcomes, and to demonstrate its conceptual and biomechanical distinction from suspension-based methods. The ultimate goal is to establish a reproducible technique that provides durable control of nasal tip projection, rotation, and alignment.</p>
Session Chair Session Chair
Ozan Altuntaş
Speaker Speaker
Alper Yenigun
Alper Yenigun
<p>Prof. Alper Yenigün, MD is a Professor of Otorhinolaryngology at Bezmialem Vakif University, Istanbul. He is known for his contributions to functional and revision rhinoplasty, including novel surgical methods such as the Cog graft and the LOST technique. He also proposed the widely cited “Yenigün Classification” of the ethmoid roof. With over 80 international publications, Prof. Yenigün continues to influence both clinical practice and academic research in nasal surgery.</p>
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Ozan Altuntaş
<p>Currently employed as an attending surgeon at Koç University Hospital, Department of Otolaryngology and Head & Neck Surgery</p>
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