Strut technique (dorsal columellar augmentation)

Strut technique (dorsal columellar augmentation)

An autologous cartilage transplant that embeds auricular cartilage into the nasal columella to stabilize and elevate the nasal tip

Recommended for

  • Those who want to refine a narrow and high nasal tip (combined with nasal tip reshaping)
  • Those whose nasal tip shape easily collapses or has been difficult to establish
  • Those who wish to improve nasal tip orientation or projection
  • Those considering this as part of revision surgery or combined procedures

The medial crura of the alar cartilages are extended, and auricular cartilage is transplanted as a support column.
Compared with standard nasal tip reduction, this achieves a narrower and higher nasal tip.
It can also minimize postoperative deformity that may occur with general auricular cartilage transplant.

Features

Stabilize the nasal tip shape at the skeletal level

A cartilage 'strut' is transplanted between the medial crura of the alar cartilages to stabilize the nasal tip's shape, projection, and orientation at the skeletal level. This improves shape stability compared with nasal tip reshaping using suture technique alone.

Autologous tissue surgery using auricular cartilage

The cartilage used for transplant comes from the patient's own ear, making this a low-risk autologous tissue surgery with minimal risk of infection or rejection.

Combined with nasal tip reshaping and auricular cartilage transplant

The strut technique is often used as a complement to nasal tip reshaping and auricular cartilage transplant, and combining all three comprehensively refines the fineness, height, and orientation of the nasal tip.

Treatment details

Pricing

Strut technique (dorsal columellar augmentation)

Treatment Price (incl. tax)
  • Monitor¥158,400
  • Regular¥198,000

※ All prices include tax.

FAQ

Will the nasal tip become narrower with the strut technique alone?

The strut's primary purpose is shape stabilization and projection enhancement; significant narrowing from the strut alone is limited. A combination with nasal tip reshaping (alar cartilage trimming and suturing) is often necessary for tip fineness.

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How much will the height change?

The nasal tip projection changes depending on the strut length and position. Significant height change often requires dorsal augmentation with septal extension (varies by individual).

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Will the nasal tip become stiff after surgery?

After cartilage transplant, the nasal tip gradually softens over several months. You may feel stiffness immediately after transplant, but in most cases it settles to a natural firmness over time (varies by individual).

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Can it be done at the same time as other nasal surgeries?

Combined surgery with nasal tip reshaping and auricular cartilage transplant is most common. Simultaneous surgery with dorsal augmentation or alar reduction is also possible.

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Consultations about this treatment are free.

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