In Asian rhinoplasty, nasal tip projection and lengthening are often required because of the low nasal tip position and short nose. Anterior septal reconstruction (ASR) is performed for nasal tip projection or lengthening with severe caudal septal deviation. The septal cartilage should be sufficiently large for ASR and other grafting procedures; however, many Asians have a small septal cartilage. Here, we introduce a nasal tip-supporting technique using a septal cartilage-bone complex for Asians with a small septal cartilage and severe caudal septal deviation.