These cartilages, also known as lower lateral cartilages, make up the nasal domes. Your individual requirements and recommendations from your surgeon will determine the type of surgery that you have. To reduce the prominence and size of these cartilages, you can trim them. Although excess volume and dimensions can be reduced, the best open structural rhinoplasty methods include small cartilage transplants. This can allow for more drastic changes. This allows for the most precise and predictable sculpturing of, corrections, and re-supporting of the nasal tissues. The result can be a more elegant and refined nose tip. Our philosophy is that the surgeon should be able to recognize the results as a "nose job". There is also a possibility that your expectations may be disappointed. The surgeon might use cartilage from the inside of your nose, or your ears for small adjustments. After the procedure, delicate fine-gauge sutures are used to close the skin. These are called dorsal spreadinger grafts. Advanced structural rhinoplasty techniques can be used to alter the size, projection, or shape of the tip. To minimize scarring, fine incisions between the nostrils and the base of your nose are carefully closed. It can be done by either bridging (between the upper end of the pillars with cartilage) or by moving the nasal bones (two sides pillars), inwards. There are many factors that make it difficult. The nasal septum is an area where extra cartilage can also be found. It involves straightening the wall of the nose, which divides the nasal passages in a right or left side.