A Novel Technique of Asian Tip Plasty: Rein-Shaped Columellar Strut Graft

  • Hyo In Kim
  • Won Jai Lee
  • Tai Suk Roh
  • Man-Koon SuhEmail author
Original Article Rhinoplasty



The columellar strut graft is one of the most commonly used invisible grafts in tip plasty techniques for nasal tip projection. However, the columellar strut graft induces cephalic rotation of the dome with nasal tip projection. This is an effective change in Western people with a long nose; however, this change should be avoided in Asians who have a relatively short nose and visible nostrils. We designed a more convenient and effective technique using a rein-shaped columellar strut graft that can prevent cephalic rotation of the dome.


A total of 32 patients underwent surgery with a rein-shaped columellar strut graft with a septal cartilage. The projection and location of the nasal tip, nasal length, and nasolabial angle were measured after taking a photograph of the lateral view, and the preoperative and postoperative results were compared.


There were statistically significant differences between the preoperative and postoperative values of the nasal tip projection ratio and nasal tip location ratio. There were no revision surgeries and no direct complications associated with the use of the columellar strut graft.


We performed tip plasty with a modified columellar strut graft—the rein-shaped columellar strut graft. In most cases of using this method, the tip projection was increased and the cephalic rotation of the tip was prevented. This surgical procedure can also be used for lengthening (rotating caudally) of the nose in some cases, as well as for the purpose of preventing the cephalic rotation of the tip.

Level of Evidence IV

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Rhinoplasty Nasal tip Columellar strut 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Department of Plastic SurgeryNational Health Insurance Service Ilsan HospitalGoyangKorea
  2. 2.Department of Plastic and Reconstructive Surgery, Institute for Human Tissue RestorationYonsei University College of MedicineSeoulKorea
  3. 3.Department of Plastic and Reconstructive Surgery, Institute for Human Tissue RestorationYonsei University College of MedicineGangnam, SeoulKorea
  4. 4.JW Plastic Surgery CenterSeoulKorea

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