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Obtaining Maximal Stability with a Septal Extension Technique in East Asian Rhinoplasty

Recently, in Korea, the septal extension graft from the septum or rib has become a common method of correcting a small or short nose.

In this week's newsletter, #IFAAS Faculty Dr Jae Yong Jeong from The PLUS Aesthetic Surgery Clinic, Seoul, South Korea will share his exclusive insights on the technique.

The success rate of the septal extension graft from the septum or rib has led to the blind faith that it provides superior tip projection and definition, and to the failure to notice its weaknesses. Even if there is a sufficient amount of cartilage, improper separation or fixation might waste the cartilage, resulting in an inefficient operation. Appropriate resection and effective fixation are essential factors for economical rhinoplasty. The septal extension graft is a remarkable procedure since it can control the nasal tip bidirectionally and three dimensionally.

Nevertheless, it has a serious drawback since resection is responsible for septal weakness. Safe resection and firm reconstruction of the framework should be carried out. Operating on the basis of the principle of "safe harvest" and rebuilding the structures is important. Further, it is important to learn several techniques to manage septal weakness, insufficient cartilage quantity, and failure of the rigid frame during the surgery.

Read the full paper by Dr Jae Yong Jeong and learn:

  • Importance of Stability

  • Histological and biomechanical characteristics of the nasal septum

  • Is the Korean septum smaller than the Westerner' septum?

  • Operative factors related to the stability of the septal extension graft:

1) Harvesting method

2) Amount of cartilage to harvest

3) Condition of harvested graft

4) Stablizing the nasal base

5) Best choice for selecting a graft type

6) Release of retaining action

7) Fixation and insetting

About Dr Jae Yong Yeong

Dr. Jae-Yong Jeong is a board-certified plastic surgeon graduated from Chungnam National Unversity Medical College. He is currently the Director of The PLUS Aesthetic Surgery Clinic in Seoul, South Korea. He is a Scientific Director of Korean Association of Plastic Surgeons and an Executive Director of Korean Society of Rhinoplasty Surgeons. He specializes in Asian Rhinoplasty and Revisional Rhinoplasty. To share his expertise on the very subject, he has published dozens of scientific papers and peer reviews on some of the most prestigious global medical journals. He is also the author/co-author of the textbooks "Aesthetic Plastic Surgery" (2014) and "Rhinoplasty: Rebuilding Nose" (2016) along with other 3 books he has written about Asian Rhinoplasty based on 17 years of rich experience.


Learn more about the cutting-edge Asian Rhinoplasty techniques in Dr Jeong's own operation room in Seoul by registering for:

IFAAS Mini Fellowship

Korean Advanced Facial Surgeries - Advanced Asian Surgical Rhinoplasty, Blepharoplasty & Surgical Facial Contouring

April 16-18, 2018 | Seoul, South Korea

* 3 Days course visiting 2 of the most famous plastic surgery clinics in Seoul and learn from the masters in their own operation room!

For more upcoming trainings globally, visit

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