Septal Extension Graft Versus Columellar Strut.

Stabilizing the nasal base is important before working on the nasal tip lobule. This will help define the nasolabial angle, the alar columellar relationship and nasal tip projection and rotation. Columellar struts and septal extension grafts are techniques that balance the nasal base and create a stable structure to modify the nasal tip. The type of graft used, and its design will depend on the patient's needs, cartilage availability and surgical techniques used. An endonasal or open approach can be used. In this chapter, authors will share their experience using columellar struts and the different types of septal extension grafts.