In our anatomic and clinical investigations we have observed, with considerable variability, the cartilages that extend beyond what Anderson2 described as the hinge region, or the posterolateral point of the lower lateral cartilage. The configurations observed include a solid strip of cartilage, multiple hinged cartilage units, and a series of cartilages aligned similarly to a string of pearls (Figure 3). In the circumstance of multiple cartilage units, the cartilages were commonly aligned in tandem and connected by overlying perichondrium.4 Classically described as the accessory cartilages,5 these cartilages appear along the planes of their embryonic origin and create a shape analogous to that of a C-ring. The cartilaginous ring, which also includes the medial, intermediate, and lateral crura, is enveloped by perichondrium and invested with multiple soft-tissue and muscular attachments.6 These attachments impart various forces along the ring and ultimately influence the static and dynamic shape of the nasal base. There is considerable biological variation in the quantity of cartilage, its inherent resilience, and the overall general configuration. Each of these parameters ultimately defines nasal tip projection, length, width, and rotation.