Evaluation of the Level of Hetero Perception of the “T” Graft for the Management of Punta Nasal in a Group of Mexican Patients

Material and Method: Retrospective descriptive study of the records of patients operated on for rhinoplasty with T-graft placement. Seven independent specialists of recognized prestige in Nasal Surgery were asked to analyze the pre-surgical and post- surgical photographs at 20 weeks, and to carry out the evaluation. From each case, granting a score, the one that evaluated with the highest qualification and the one that evaluated with the lowest qualifications were eliminated. Objective: To determine the efficacy of the "T" graft for the management of the nasal tip in mestizo patients. Results: 22 cases were included in the analysis, 19 women and 3 men aged between 16 and 64 years. Only one case involved secondary surgery. Improvement was observed in the projection, rotation and definition of the tip in all cases, also observing improvement in the following: the wing-columnella ratio in 86.4%, symmetry in 92.7%, obtaining a natural appearance in 92.7%, the double columnar break in 86.3% and the obtaining of luminous points in 99%. No patient had significant tip asymmetry after the surgical procedure; No patient had postoperative complications or postoperative aesthetic or functional discomfort. Conclusions: The "T" graft can be used successfully in cases where it is necessary to increase the projection, definition and rotation of the nasal tip that cannot be achieved only by sutures or other types of grafts, it is especially useful in cases of skin thick, and being above the domes, favors a natural aesthetic result. In addition, it is a useful graft in cases of asymmetry of alar cartilages and for correction in some cases of the wing-columnella relationship.