Section 4 Plastic and Reconstructive Problems

Plastic and Reconstructive Surgery s !PRIL

Fig. 5. A 20-year-old female patient with tension nose. Preoperative ( left ) and 9-month postoperative ( right ) photographs after primary open rhinoplasty.

consecutive open rhinoplasties in which a colu- mellar strut was used in each case, tip projection decreased in 65 percent, increased in 27 percent,

and was unchanged in 8 percent. Rohrich et al. concluded that the routine use of the columellar strut graft does not necessarily imply an increase