An adequate nasal tip projection is of the utmost importance for good
nasal aesthetics. Conventional rhinoplasty procedures are not adequate
for achieving nasal tip projection in ''tips with inadequate projecti
on'' (TIP). This article describes our technique of using an umbrella-
shaped cartilage graft to the tip. The graft is carved from caudal sep
tal and alar cartilages. The results and advantages of the technique a
re discussed.