In rhinoplasty, does a large membranous septum act as a supporting structure for the tip?

If a large membranous septum is removed, how does it affect the tip? In revision rhinoplasty, what is the best grafting material (ear, rib, nasal tissue) for replacement of membranous septum? Thank you.

Doctor Answers 2

In rhinoplasty, does a large membranous septum act as a supporting structure for the tip?

No, the membranous septum does not act as a supporting structure for the tip of the nose. A large membranous septum is also known as a hanging columella. The best grafting material for rhinoplasty is always nasal cartilage. For more information and many examples of reduction of the hanging columella and membranous septum, please see the link and the video below


Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Does the membranous septum act as a supporting structure for the tip.

The technical questions we seem to get are extraordinary. The membranous septum is just beyond the lower edge of the septum, the caudal edge, and does not support the tip. There is as you would expect from the term, no cartilage in this portion of the septum.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.1 out of 5 stars 40 reviews

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