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Nasal tip suspending transfixion suture.

Ozan Bitik1, Hakan Uzun, Haldun Onuralp Kamburoğlu

  • 1Department of Plastic Surgery, Hacettepe University Faculty of Medicine, Sihhiye, Cankaya, 06100, Ankara, Turkey, shakanuzuns@hotmail.com.

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An anterior septal extension technique combined with a tip-suspending transfixion suture effectively enhances and maintains nasal tip projection and rotation in rhinoplasty. This surgical approach ensures long-lasting aesthetic results for patients seeking improved nasal form.

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Area of Science:

  • Plastic Surgery
  • Facial Plastic Surgery
  • Rhinoplasty Techniques

Background:

  • Anterior septal height is crucial for nasal tip projection in rhinoplasty.
  • The anterior septal extension technique improves long-lasting nasal tip projection.
  • Anterior septal extension alone does not prevent postoperative nasal tip rotation loss without additional support.

Purpose of the Study:

  • To evaluate the efficacy of a tip-suspending transfixion suture in conjunction with the anterior septal extension technique for maintaining nasal tip rotation.
  • To assess the long-term stability of nasal tip projection and rotation after using this combined technique.

Main Methods:

  • Retrospective analysis of 22 droopy-tip rhinoplasties using the anterior septal extension and tip-suspending transfixion suture technique.
  • Comparison of nasolabial angle (NLA) and Goode ratio measurements from preoperative, 3-week postoperative, and 1-year postoperative photographs.

Main Results:

  • Significant increases in NLA and Goode ratio were observed at 3 weeks postoperatively, indicating improved tip projection and rotation.
  • No statistically significant differences in NLA and Goode ratio were found between 3-week and 1-year postoperative measurements.
  • The technique demonstrated long-term maintenance of nasal tip position.

Conclusions:

  • A tip-suspending transfixion suture is a simple and effective method to secure nasal tip rotation when combined with anterior septal extension.
  • This combined approach provides stable and lasting improvements in nasal tip aesthetics following rhinoplasty.