BACKGROUND: Retracted columella may be present in primary noses as well as in patients who have undergone aesthetic or functional rhinoplasty. This study aims to demonstrate the use of the labial portion of the depressor septi nasi (the depressive muscle of the nasal tip) and upper lip orbicularis muscle for retracted columella correction.
METHODS: The subjects included 20 patients between 20 and 35 years old (4 males and 16 females) who underwent primary aesthetic rhinoplasty.
RESULTS: Moderate edema was observed postoperatively in all patients and was resolved within 1 to 3 months. V-shaped scars at the base of the columella presented excellent aesthetic aspects.
CONCLUSIONS: The surgical technique is easy and the learning curve is fast. Columella correction with the presented technique provides natural and predictable results.
Keywords: Rhinoplasty. Nose/surgery. Plastic surgery/methods.