The subset of maneuvers classified as stabilizing and strengthening share the characteristic of not reducing or excising tissue. They can be categorized as cartilage overlay techniques (lateral crural overlay, intermediate crural overlay, and medial crural overlay), suture techniques (interdomal and intradomal), structural grafting techniques (lower lateral crural strut graft, columellar strut graft, lower lateral crural batten graft, and caudal septal extension graft), contour grafting techniques (supratip graft, tip graft, and infratip graft), and combination grafting techniques (alar margin graft, columellar plumping graft, and sill graft). Although the cartilage overlay techniques involve a division perpendicular to the long axis of the alar cartilage, the 2 flaps are overlapped, creating a double layer that is stabilized with sutures.2,3 This resultant dual layer is stronger than the initial single layer and resists buckling.4 The suture techniques not only avoid cartilage excision but also augment stiffness of the cartilage. The structural grafting techniques increase the ability of the nasal tip skeleton to resist the contractile forces of healing and the tendency of the nose to weaken with age. The remaining grafts share the quality of adding bulk and varying degrees of structural stability. The data analysis demonstrates a statistically significant increase in some of the maneuvers, without any decrease in any of the maneuvers in this category.