The nose of far erientals is characterized by short, flat and broad nasal tip; thick and tense skin, flaring nostrils, restriction of nasal tip projection due to the underdevelopment of the medial crus of alar cartilage and short columella. To obtain a better nasal tip definition and projection, alar cartilages should be realigned first and then the nasal tip should be augmented with autogenous cartilage graft in case of necessity. 
As the anatomic deformity encountered becomes more severe, progressively less conservative approaches are utilized. Emphasis is always placed on the conservation of the nasal tip structures, substituting cartilage reorientation and repositioning for a radical dissection.
The following principles should be emphasized when considering alar cartilage contouring in the overwhelming majority of rhinoplasty operations; volume reduction of medial-cephalic extent of alar cartilage, preserving a complete caudal strip of intact cartilage, the laterocephalic portion of the lateral crus should be left intact and should not be resected, identifying and preserving the tip defining point, the residual caudal strip with suture techniques, and interrupting the complete strip to achieve an added narrowing refinement, increased projection, or additional rotation.
In Cocasians, delivery alar sculpturing technique through a marginal incision is not used commonly, because of the postoperative nostril collapse when inhaling. But, unlike Cocasians, Koreans have thin alar cartilages, thick alar skin and vestibular mucosa. Through marginal-transfixion incision and delivery approach, the alar cartilages are dissected freely and completely from the skin and mucosa. Volume was reduced from the medial- cephalic portion of the lateral crus of the alar cartilages, preserving a complete caudal strip of intact cartilages. Transdomal suture was performed for cephalad rotation of the nasal tip. Also, medial crural transfixion suture was done for the projection of the nasal tip and columella lengthening. Using this technique, we were able to prevent postoperative nostril deformity, maintain nostril rigidity and yield a more satisfactory results. Additional autogenous conchal cartilage graft was not required in most of the cases.