Long-Term Durability of Tip Projection and Rotation with Strut Columella and Septal Extension Graft in Rhinoplasty: A
Reza Vaghardoost1, Afshin Zahedi2, Abolfazl Abbaszadeh3
1Plastic and Reconstructive Surgery Department, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Aesthetic Plastic Surgery
|February 2, 2026
Summary
The SEG method for rhinoplasty offers superior long-term durability compared to the columellar strut (Strat), effectively maintaining nasal tip shape. This study compared these techniques for nasal aesthetics.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
- Facial Aesthetics
Background:
- Nasal tip projection and rotation are key determinants of nose aesthetics.
- Columellar strut (Strat) and Septal Extension Graft (SEG) are efficient rhinoplasty techniques.
Purpose of the Study:
- To compare the efficacy of the Strat and SEG methods in preserving nasal tip shape.
- To evaluate the long-term outcomes of these two rhinoplasty techniques.
Main Methods:
- A two-group study comparing Strat and SEG techniques.
- Objective measurements (distances, angles) and subjective patient satisfaction (ROE questionnaire) were recorded.
- Data were collected pre-operatively, immediately post-operatively, and at 6 and 12 months, analyzed statistically.
Main Results:
- While immediate post-operative rotation differed significantly, long-term rotation showed no significant difference between groups.
- Nasal tip projection showed no significant difference immediately or at 6 months, but a significant difference emerged at 12 months favoring SEG.
Conclusions:
- The Septal Extension Graft (SEG) method demonstrates greater long-term durability than the columellar strut (Strat).
- SEG is more effective in maintaining nasal tip shape over an extended period.
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