Resumo

Objectives: To provide a reliable method to achieve rotation, projection and tip stability through endonasal rhinoplasty Introduction: The creation of a refined yet natural appearing tip is one of the main goals in rhinoplasty. The endonasal (closed or scarless rhinoplasty) approach has often been criticized for its inability to provide access to the tip and provide the visualization and grafting ability to create and maintain a lasting and harmonious tip. The extended columellar tip graft provides a reliable way to do so with one graft. Materials / method: The patienst who underwent endonasal rhinoplasty with the extended coulmellar tipo graft were reviewed by standard photography Results: The extended tip coulmellar graft provided a reliable method to achieve tip rotation, projection and stabilty Conclusion: Endonasal rhinoplasty and preservation rhinoplasty are sought after by many patients. The less is more strategy is helpful in rhinoplasty surgery and may help create superior outcomes. Using the extended tip columellar graft provides both the stability of grafting and minimizes the dissection and bulkiness of multiple grafts.