Enhancing nasal tip projection and stability with a columellar strut graft placed in a mucosal flap pocket.

ABSTRACT:

Objectives

Establishing a stable nasal tip is crucial for both aesthetic and functional outcomes in rhinoplasty. This study aims to present a novel technique used during columellar strut graft placement to enhance tip projection and ensure the stability of the reconstructed nasal tip.

Methods

This technique was applied to 22 rhinoplasty patients aged 18 to 52, including 20 primary and two revision cases. The procedure was performed as follows: During tip formation, the mucosal base at the anterior portion of the nasal spine was elevated with a posteriorly based flap while preserving the medial crura connections. This mucosa-crura complex was suspended and sutured to the caudal septum for stabilization and slight projection. A columellar strut graft was placed into a pocket c

SUBMITTER: Ceran M 

PROVIDER: S-EPMC12596617 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature