Placing Columella Strut Via Transfixion Incision?

I heard that a transfixion incision distrupts nasal tip mechanisms and therefore an adverse effect. For placing a columella strut, is this done via a (full) transfixion incision?

Doctor Answers 7

Placement of columella strut

A columellar strut is placed through a marginal incision, positioned between the inner medial crus of the lower lateral cartilage, then sewn together between the cartilages to hold it in place.  It is not placed through the hemitransfixion or a full transfixion incision.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Placing Columellar Strut

There are a variety of approaches that can be utilized for placement of a columellar strut. At the end of the procedure the various structures are restored to their appropriate position and fixed in place.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Columella strut

Depending upon the technqiue used will determine hos the columella strut is placed. If it is an open technique than a transfixion incision is not used. In a closed technique, sometimes a small tunnel is created after using a delivery approach or made through ahemi or full  transfixion incision .

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

A Columellar Strut Typically Adds Support

A columellar strut is placed during rhinoplasty to add support to the nasal tip. This support may have been lacking to start, or the mechanics of nasal surgery and subsequent healing may weaken the support of the tip. The important take away is that your surgeon is planning on adding this support, which can be done by a variety of approaches.

Edward Szachowicz, MD, PhD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Columellar Strut Insertion Approach

Columellar struts can be placed by a variety of approaches, including a hemi- or full transfixion incisional approach. Whatever the approach, nasal structural support would be restored by suture techniques.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Placing columellar strut

A columellar strut can be placed through a number of incisions

  • Open rhinoplasty
  • Nasal sil/columellar base
  • Hemi or full transfixion
  • Transbuccal
  • Direct infratip/columellar 

Each situation may demand a unique approach

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Placing Columellar Strut via Transfixion Incision.

A columellar strut can be placed through a transfixion or hemitransfixion incision. Every surgeon has their own techniques which are influenced by the individual needs of each patient.There are always potential side effects to any nasal incision but an experienced surgeon will compensate for the interruption of structural support or function.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.