title: Aggressive management of the hanging columella.
abstract: The aggressive management of the hanging columella is presented and extends the direct attack on the medial crura to total excision of both medial crura and the overlying vestibular skin. Tip support is maintained.
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009666:Nose / Q000002:abnormalities; D009668:Nose Diseases / Q000150:complications; D012123:Pulmonary Ventilation; D012225:Rhinoplasty / Q000379:methods*