The double columellar strut: An adjunct to improve the nasal tip

Abstract

Tip reconstruction represents one of the more difficult challenges in rhinoplasty. By using a double layer of cartilage for the columellar strut, one can gain significant advantages. These would be increased projection that is (1) straight, (2) strong, and (3) avoids pinching of the tip. Its utility when combined with the double-dome suture technique (McCollough) is nearly universal. The technique is described.