Prevention and Management of Columellar Necrosis in Rhinoplasty

The authors investigate effective strategies for preventing and managing columellar necrosis in rhinoplasty, highlighting the importance of minimizing tension on columellar closures. They report successful reconstruction outcomes in their cases, utilizing techniques such as Silastic healing chambers, grafts, and flaps, while also noting the use of nanofat and hyperbaric oxygen to enhance recovery. The study emphasizes the complexity of columellar reconstruction and the need for careful surgical planning to achieve optimal aesthetic and functional results.