Have you used CAUDAL EXTENSION GRAFTS before? Please do not mix it with spreader grafts, as those are something else. You have many patient photos. Can you show at least two that has augmented theire caudal septum with caudal extension grafts?

Caudal extension grafts have been described for use in correcting a retracted columella, overrotated tip, short nose, or to increase tip and projection. This graft is sutured to the caudal margin of the nasal septum and is secured between the medial crura in the midline with 5-0 buried polydioxanone suture (PDS). When suturing the caudal extension graft to the caudal septum, the caudal margin of the graft must be in the precise midline. Deviation off the midline will result in a deviation of the nasal base or tip.