Asian rhinoplasty with tip grafts

In my experience, Asian Americans tend to have thick nasal skin, weak/broad nasal tip cartilages. This combination usually results in the benefit of using some type of tip grafting. The source of the tip graft is usually nasal septal cartilage. Initially, I perform refinement techniques upon your own nasal tip cartilages. However, if we find that these maneuvers (suturing techniques and cephalic margin trim) do not achieve enough refinement, we may use nasal tip grafts.