Columellar necrosis often results in injury to the overlying columellar skin, the medial crura of the lower lateral nasal cartilages, the anteromedial inner nasal mucosa, and possibly the anterior septal cartilage. 1 Nowicki J. Abbas J.R. Sudbury D. Anari S. Nasal columella reconstruction–a comprehensive review of the current techniques. J Plast Reconstr Aesthet Surg. 2020; 73: 815-827https://doi.org/10.1016/j.bjps.2020.01.016 Abstract Full Text Full Text PDF PubMed Scopus (9) Google Scholar The auricular chondrocutaneous composite graft is one of the best reconstructive methods to date. 2 Chang C.S. Swanson J.W. Wilson A. Low D.W. Bartlett S.P. Columellar reconstruction following nasal continuous positive airway pressure injury. Plast Reconstr Surg. 2018; 141: 99e-102e Crossref PubMed Scopus (11) Google Scholar Increasing graft size, however, increases the risk of graft failure and donor site deformity.