Background: Understanding tip support mechanisms is essential for nasal surgery, especially for preservation or augmentation of tip projection.
Methods: Support of the nasal tip often is improved by the use of struts placed between the medial crura. The percutaneous columellar strut is a technique that provides additional tip support during septoplasty and closed rhinoplasty. The strut is placed via a small vertical columellar incision.
Results: The advantage of easy and simple insertion outweighs the minor potential disadvantage of a small, visible vertical columellar scar. It is useful in addressing tip ptosis when trauma, surgery, or aging has reduced the contribution of the septum to tip support.
Conclusion: A detailed description of the percutaneous columellar strut technique and results of its application are presented.
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