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• Remove the Redon drain and apply fibrin glue spray
• Suture the postauricular skin
• Apply a pressure dressing with gauze behind the earlobes.

Products required
Xylonor (30 mg/mL) + 0.04 mg/mL noradrenaline 1.8 mL
(Septodont, Saint‑Maur‑des‑Fossés, France).

Declaration of patient consent
The authors certify that they have obtained all appropriate
patient consent forms. In the form the patient(s) has/have
given his/her/their consent for his/her/their images and
other clinical information to be reported in the journal.
The patients understand that their names and initials will
not be published and due efforts will be made to conceal
their identity, but anonymity cannot be guaranteed.
Figure 17: The “double duck” procedure with full transfixion incision
lifts the nasal tip and can correct a hanging columella by resection of Financial support and sponsorship
the membranous septum
Nil.

Conflicts of interest
There are no conflicts of interest.

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