Nose Reshaping

Farbod Esmailian, MD answers: What is a strut procedure?

I was told by a surgeon I met that he will not cut my columella but instead use a piece of cartilage from my nose to do a strut technique. This is because I asked for a tip refinement.

What is a strut technique and is this procedure good enough to give me a nice refined nose? (I am African American) Thank you in advance for the answers you will provide me with.


Farbod Esmailian, MD
29 days ago

What you are referring to is a columellar strut graft.  This is a piece of cartilage that is placed between the two cartilages in the tip of the nose to help provide more projection.  It may give a bit more definition but in your case I think you need more tip work to get the result you want.

I would recommend an open rhinoplasty to allow accurate dissection and suturing of the tip cartilages and placement of a stut graft to help.

Hope that helps you.

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