Augmentation rhinoplasty using an L-shaped auricular cartilage framework combined with dermal fat graft for cleft lip nose

We prepared an L-shaped framework using autogenous auricular cartilage and combined this with dermal fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, by our method we obtained a strong columella strut and nasal dorsum au gmentation at the same time. Dermal fat graft provided camouflage for carti lage irregularities and was useful for increasing the graft volume. Althoug h absorption caused a decreased volume to a certain extent, there were no o ther complications such as cyst formation, and a natural nasal contour was achieved in all patients.