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Correction of a hanging columella 

In the long septum, the distal part can be excised to create a space for the medial crus to be moved upwards. Further, the batten graft or columellar strut is used for ensuring the stability of the medial crus and for tip projection with upward rotation, and two or three layers of cartilage grafts including onlay tip graft, shield graft, and/or cap graft are performed for tip definition.What are your thoughts on aestetic corrections in general?