Caudal extension graft

A graft comprised of cartilage which is placed on the end of the septum to extend, rotate, or counter-rotate the tip, among other purposes.

A caudal extension graft is a piece of cartilage attached to the lower end of the nasal septum. It creates a stable platform that allows the surgeon to control the position of the nasal tip with greater precision. Depending on how the graft is shaped and placed, it may be used to increase or reduce tip rotation, improve projection, lengthen a short nose, strengthen a weak tip, or improve the relationship between the tip and columella.

This graft can be useful in both primary and revision rhinoplasty. Some patients naturally have limited tip support, while others have lost support because of trauma or a previous operation. The graft is usually made from the patient’s own cartilage, often from the septum. When septal cartilage is not available or is not strong enough, ear or rib cartilage may be considered based on the amount of support required.

Because a caudal extension graft becomes part of the structural framework of the nose, its size and position must be carefully planned. A graft that is too large, too rigid, or poorly aligned can affect tip movement, symmetry, or the nasal airway. The goal is to provide dependable support without making the tip look stiff, overprojected, or unnatural.

For patients considering rhinoplasty in Beverly Hills, understanding the role of a caudal extension graft can be helpful when discussing tip position and long-term support. Dr. Richard Zoumalan evaluates the septum, cartilage strength, nasal length, and facial profile to determine whether this graft may help create a stable, balanced result that fits the rest of the face.