Augmentation rhinoplasty.

The combination of grafts and skeletal maneuvers will usually yield a nose that is esthetic and functional. Subtleness is the key--the nose should neither be stark in appearance nor impart the sensation of rigidity to feel. Where multiple grafts are called for, they are preferably nonarticulated so as to give the sensation of natural "give" to the touch, and forbearance against trauma as in the native nose. Constructive and reconstructive tactics for the nose, while based in sound rhinoplastic and craniomaxillofacial protocols, often include judicious usage of augmentative materials and techniques. For both appearance and also for function, their use is most gratifying for the patient and for the clinician.