Sheen's tip graft in primary rhinoplasty: critical analysis

In 1975, Sheen reported on a technique of nasal tip projection by means of a cartilaginous graft [1[. This technique, allied to some general principles in primary and secondary rhinoplasties presented in his book [2[, revolutionized the nasal surgery. Unfortunately, the execution of Sheen's technique of nasal tip grafting, as originaly described, is not easy nor is the procedure troublefree, and the fantastic esthetic results obtained by the author seem to be irreproducible for a less skilled surgeon. The authors of this article present their experience with Sheen's tip graft in primary rhinoplasty and analyze critically the procedure, stressing the necessity of correct selection of patients.