Shield graft for the nasal tip.

Onlay cartilage grafts have been used in the region of the nasal tip since first reported in 1895, and renewed interest in the procedure has increased steadily during the past ten years. Throughout the past five years, 43 cases of noses that lack tip projection have been treated by us with the use of the shield graft technique. There was an improvement in appearance that satisfied the aesthetic criteria in all cases. The complications were few, and the results seemed more natural and pleasing when compared with the results of other techniques that enhance projection.