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

asked 8 months ago by Nestea
Latest answer by Steven Wallach, MD
Question viewed 160 times
Tags: columella, risk, strut

Quick question to all you nose experts! I had a columella strut placed to support a tip graft. Will shortening the strut cause both deprojection and derotation the tip? Thanks!

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

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

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.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Columella strut

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

Steven Wallach, MD
Manhattan Plastic Surgeon

Answer to RealSelf.com question regarding Columellar strut in rhinoplasty

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

Eric T. Emerson, MD
Charlotte Plastic Surgeon

Ask a question

Get Free Email Updates

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