Will Shortening the Columella Strut Cause Both Deprojection and Derotation of the Tip?

The strut itself is used for support purposes. If it was used to elevate the lateral crua, you may notice deprojection after shortening it.

Shortening the columellar strut, during Rhinoplasty, will do neither of those...it won't decrease tip projection which is determined by the height of the nasal tip itself, nor will it decrease tip rotation which is determined by the anterior septal angle and shape of tip cartilages.

A columellar strut is typically used to support the tip and maintain its projection, paticularly after open rhinoplasty. One can expect a decrease in tip projection with open rhinoplasty simply as a consequence of the procedure. The columellar strut is therefore often used to maintain or control the amount of projection desired. Shortening of an existing strut is likely to decrease projection and may or may not affect tip rotation. However, removal or shortening... more