Fig. 1.

a Approaches to access the sill area. b Access to the sill area through the incision made in the lower third of the columella in the open rhinoplasty approach. c Access to the sill area from the incision at the nostril base in a patient who underwent alar base reduction. d Hemostasis is achieved, and an adequately shaped cartilage graft harvested from the septal cartilage or the conchal cartilage is inserted into the tissue pocket. Septal cartilage is considered as the most common source for the harvesting of cartilage graft in rhinoplastic procedures