The placement of a silicone columellar strut serves to correct columel
lar retraction, to improve the nasolabial angle, and to increase tip p
rojection by elevating the medical crura of the lower lateral cartilag
es. The potential complications of extrusion, infection, and migration
are minimal if the implant is placed in a separate watertight compart
ment with a tension-free closure and no impingement on the nasal dome.