Rhinoplasty is the most practiced facial aesthetic procedure in the world and has generated enormous literature on the matter. The objective of this study is to describe the use of the simultaneous double strut technique for unsupported noses. Currently the anterior strut does not need a great length, nor does it need to be fixed to the SNA, just as it will not be in charge of providing projection to the nasal tip, it is enough to fix it to the medial cruras to provide greater support to the nasal tip. the technique Teo strut, is in charge of giving projection as well as the support to the nasal tip. The Teo Strut technique possible to provide support and stability to the nasal projection, rotation of the nasal tip, and adequate points of light and shadows in the different polygons, maintaining principles of preservation in some cases, thus reduci