Rhinoplasty: Columella strut the only way to lift the tip of the nose?

Yes, there are other ways of supporting the tip after rhinoplasty besides using a columellar strut. Septal extension grafting and extended spreader grafts are possibilities along with using a tongue in groove setback technique. Any of the above techniques can work well in my experience. The best method to use depends on what if being done and your specific anatomy and sometimes more than one method is used.

 Other ways to elevate tip without columellar strut?  yes.  For more than 35 years I've never used columellar struts to elevate the tip. The results can be seen on my website and those of others.  This avoids the many complications and annoying problems associated with columellar struts. 

Hello,
Thanks for your question. Columellar strut grafting is very effective for projecting and repositioning the tip. You can also do this with columellar-septal suturing, caudal septal extension grafting, and extended spreader grafting. Each has its own reason to be used. Work with an experienced rhinoplasty specialist for the most personalized surgical plan.
Good luck,
Dr. Shah