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Purpose: Minimal deformity or instability after columellar strut graft (CSG) placement can be solved by placing a suture between the columella strut and the caudal septum, such as a medial crura anchor suture or a projection control suture. However, this is very tedious.Materials and Methods: A trans-septal columellar stabilizing suture (TCSS) was developed for the management of final tip projection and location and increasing stability after CSG placement.Results: Tip projection and rotation could be carefully controlled by changing the position of the TCSS. In addition, the TCSS provided increasing stability for the columellar strut. It was not necessary to remove any prior suture or the graft.Conclusion: TCSS usefully controls the final positions and shapes of the tip and columella and provides stability to the columellar strut after CSG. Furthermore, the TCSS is a straightforward and time-saving procedure. [ABSTRACT FROM AUTHOR]