Context: A common complication, related to the use of nasogastric tube during the 1st day of life, is the necrosis of the columella. Esthetic damage in the early age typically leads to a healing request with very high result expectations.
Aims: We aimed to develop and use an innovative surgical technique.
Settings and design: We used our technique in four cases.
Subjects and methods: Our technique requires two flaps designed with two paramedian release incisions. The two flaps will be sutured to what remains of the fibrous septum; finally, the two flaps will be sutured together in the medial region.
Results: Postoperative course was devoid of any complication. All patients gained esthetic improvements and an increase in the volume of the columella on the sagittal and frontal planes.
Conclusions: This technique allows a conservative approach with low donor site morbidity and rapid postoperative course.
Keywords: Columella necrosis; maxillofacial surgery; minimally invasive surgery; plastic surgery.