L-Shaped columellar strut in East Asian nasal tip plasty

Eun Sang Dhong, Yeon Jun Kim, Man Koon Suh

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


Background Nasal tip support is an essential consideration for rhinoplasty in East Asians. There are many techniques to improve tip projection, and among them, the columellar strut is the most popular technique. However, the conventional design is less supportive for rotating the tip. The amount of harvestable septal cartilage is relatively small in East Asians. For an optimal outcome, we propose an L-shaped design for applying the columellar strut. Methods To evaluate the anthropometric outcomes, the change in nasal tip projection and the columella-labial angle were analyzed by comparing preoperative and postoperative photographs. The anthropometric study group consisted of 25 patients who underwent the same operative technique of an L-shaped strut graft using septal cartilage and were followed up for more than 9 months. Results There were statistically significant differences between the preoperative and postoperative values in the nasal tip projection ratio and columella-labial angle. We did not observe any complications directly related to the L-shaped columellar strut in the anthropometric study group. Conclusions The L-shaped columellar strut has advantages not only in the controlling of tip projection and rotation, but in that it needs a smaller amount of cartilage compared to the conventional septal extension graft. It can therefore be an alternative technique for nasal tip plasty when there is an insufficient amount of harvestable septal cartilage.

Original languageEnglish
Pages (from-to)616-620
Number of pages5
JournalArchives of Plastic Surgery
Issue number5
Publication statusPublished - 2013 Sept
Externally publishedYes


  • Nasal septum
  • Rhinoplasty
  • Treatment outcome

ASJC Scopus subject areas

  • Surgery


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