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