Figure 14: Lengthening of the nose with a L-shaped reconstruction of the septal angle based on caudally extended spreader grafts (purple), a columellar strut and fixation of the alar cartilages to the reconstructed septal angle (a). In posttraumatic deformities the short nose is combined with a saddle deformity. These deformities can be reconstructed with a L-shaped costal cartilage graft (b).