Septal Extension Graft Versus Columellar Strut

Area of Science:

• Rhinoplasty and reconstructive surgery.
• Plastic surgery techniques.

Background:

• Nasal base stabilization is a prerequisite for successful nasal tip lobule modification.
• Key aesthetic parameters like nasolabial angle, alar columellar relationship, and nasal tip projection/rotation depend on a stable nasal base.

Purpose of the Study:

• To discuss the application of columellar struts and septal extension grafts in rhinoplasty.
• To share surgical experience and insights on these foundational techniques for nasal tip refinement.

Main Methods:

• Utilizing columellar struts and septal extension grafts to balance the nasal base.
• Employing either an endonasal or open surgical approach.
• Tailoring graft type and design based on individual patient needs, cartilage availability, and surgical strategy.

Main Results:

• These techniques establish a stable structural framework for the nasal tip.
• Successful modification of nasal tip projection and rotation is facilitated.
• Improved definition of the nasolabial angle and alar columellar relationship.

Conclusions:

• Columellar struts and septal extension grafts are essential for achieving predictable outcomes in nasal tip surgery.
• The choice and design of grafts are critical and patient-specific.
• These foundational techniques are vital for advanced rhinoplasty procedures.