The Saddle Projection Graft.

This paper and the accompanying video present a novel technique developed by the senior author to reliably control nasal tip projection and rotation with a midline cartilage graft that is nonbulky; easily reproducible; and conceptually intuitive. The saddle projection graft is a cartilage graft ∼5 by 15 mm in size fashioned from the nasal septum. A 15 blade is used to create a sagittal groove in the cartilage, which is then inset onto the anterior septal angle with the septum fitting within the sagittal groove.