Why is a columella strut used?

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.   It really depends on your individual anatomy and your surgeon's preferred techniques.  Make sure you specifically look at before and after pictures of real
patients who have had this surgery performed by your surgeon and not just a
computer animation system. The most important aspect is to
find a surgeon you are comfortable with. I recommend that you seek consultation
with a qualified board-certified plastic surgeon who can evaluate you in
person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

 

The main purpose of columellar struts, particularly of the tip cartilages are taken apart, is to support the projection of the nasal tip after surgery. An open rhinoplasty causes scar contracture and potentially tip blunting long term.