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The importance of the columella as an aesthetic entity in the composition of the face is easily underestimated and it is only when this tiny structure is destroyed by syphilis, infection or trauma that the tissue defect becomes glaringly obvious. The difficulty of reconstruction of this subtle aesthetic keystone has stimulated many elaborate operative techniques requiring multiple stages. The successful correction of loss of the lower septum and columella with a simple one-stage procedure is the justification for this short report.
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© 1980 The Trustees of British Association of Plastic Surgeons. All rights reserved. Published by Elsevier Inc.