Descripción:
Columella sliding is a surgical technique to correct unaesthetic/unwanted depression or projection of the tip. The tip can be increased or decreased by a simple mini-invasive technique during primary or secondary rhinoplasty, or as a separate procedure. The main aim of the technique is to obtain the aesthetic 300 angle between the dorsum and the profile line and correct volume of the tip at the line of the beauty triangle. It is possible to change the projection of the tip using a retrocolumellar incision, to slide the columella against the septum upwards or downwards and fix the new position with 2 to 3 transmucosal columella-septal sutures. The stitches are removed 2 to 3 weeks after surgery, which is enough time for the columella to initially heal to septum. The technique is atraumatic, mini-invasive, and nearly bloodless. The procedure is very well tolerated by patients: there is no need of casts or tampons, and patients return to social life almost immediately.
