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March 2, 2026Open Access

Septocolumellar Anchorage in Secondary Rhinoplasty: A Cartilage-Sparing, Closed-Approach Strategy

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Authors

JEJorge Espinosa-ReyesFacial Plastics Surgery AssociatesJAJuan Carlos Ochoa AlvarezPontificia Universidad JaverianaRCRoxana Cobo

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Implication

This retrospective study demonstrates cartilage-sparing technique restoration of nasal tip support in secondary rhinoplasty, suggesting effective outcomes with fewer complications.

Key Points

  • The study aims to evaluate the effectiveness and reliability of septocolumellar anchorage in secondary rhinoplasty with a closed approach.
  • Conducted a retrospective descriptive study with 26 patients undergoing secondary rhinoplasty.
  • Included patients with diminished tip projection, rotation, columellar retraction, and functional airway compromise.
  • Utilized intercartilaginous and hemitransfixion incisions for surgery.
  • Anchored septocolumellar sutures to the caudal septum to provide stable nasal tip support.
  • Followed up with patients for a minimum of 12 months.
  • Achieved successful restoration of nasal tip projection, rotation, and alignment in all patients.
  • Improvement in nasal airflow noted in cases with preoperative obstruction.
  • Closed surgical approach was utilized in 73% of cases.
  • No major complications or need for further revisions were reported.

Cite This Study

Espinosa-Reyes et al. (2026) studied this question.

synapsesocial.com/papers/69a52dd3f1e85e5c73bf0f5fhttps://doi.org/10.11648/j.sdmed.20260101.12
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