Triple cartilage combining suture technique in rhinoplasty

Area of Science:

• Plastic Surgery
• Otolaryngology
• Rhinoplasty Techniques

Background:

• Nasal tip position and shape are crucial for overall nasal aesthetics.
• Rhinoplasty procedures require precise planning, especially concerning the nasal tip.
• Endonasal rhinoplasty offers a less invasive approach to nasal surgery.

Purpose of the Study:

• To review institutional experience with nasal tip surgery.
• To describe a modified suture technique for endonasal rhinoplasty.
• To evaluate the functional and cosmetic outcomes of the described technique.

Main Methods:

• A modified suture technique, based on the "tongue-in-groove" method, was employed.
• The technique utilizes a figure-eight-shaped suture for nasal tip modification.
• Patient-reported outcomes were assessed via a telephone survey (>1 year follow-up).

Main Results:

• The technique effectively reduces columellar show and allows controlled nasal tip rotation and projection.
• 84% of 96 patients reported being very to completely satisfied with their nose's appearance and symmetry.
• Two patients required revision surgery, reporting moderate satisfaction.

Conclusions:

• The modified suture technique offers a valuable addition to septorhinoplasty.
• The figure-eight suture provides adjustability while preventing nasal stiffness.
• This approach enhances aesthetic and functional outcomes in endonasal rhinoplasty.