Ji Yun Cho, MD, PhD, and colleagues retrospectively review 44 consecutive Asian patients who underwent nasal tip–plasty with septal extension grafts to provide support and aid in positioning. Outcomes measurements include patient preoperative and postoperative questionnaires, photographs, and anthropometric analysis. Eighty-six percent of the patients were satisfied with the cosmetic appearance of their nasal tip. Nearly half of the patients complained of nasal tip stiffness and decreased projection, and 9% underwent revision surgery. Septal extension grafts in Asian nasal tip–plasty can provide solid support, projection, and length. However, care needs to be taken to prevent complications such as hardness, loss of projection, nasal tip deviation, and infection.