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The Multi-Lock System for Rhinoplasty
1Clinica Wulkan - Private Clinic, Al. Joaquim Eugenio de Lima, 1674, casa 2, São Paulo, SP, Brazil. drmwulkan@gmail.com.
Aesthetic Plastic Surgery
|October 22, 2015
Summary
The Multi-Lock System offers a stable and refined approach to rhinoplasty, effectively preserving nasal tip projection and rotation while preventing common deformities like the pollybeak.
Area of Science:
- Plastic Surgery
- Facial Plastic Surgery
- Rhinoplasty Techniques
Background:
- Nasal tip contour, projection, and rotation are critical challenges in rhinoplasty.
- Existing suture and graft techniques may lack refinement.
- A novel approach is presented to stabilize the nasal tip for improved outcomes.
Purpose of the Study:
- To detail a new standardized technique for nasal tip stabilization in rhinoplasty.
- To evaluate the durability and predictability of this novel approach.
Main Methods:
- A standardized technique involving a modified distal onlay dorsal graft, columella strut, and bilateral caudal septal sliver grafts was used in 28 rhinoplasties.
- All patients underwent follow-up for a minimum of 365 days.
Main Results:
- No loss of nasal tip projection or rotation was observed.
- Minor complications included one traumatic nasal fracture, two cases of alar retraction (unrelated to the technique), and one revision for airflow improvement in a patient with thin skin.
Conclusions:
- The Multi-Lock System for rhinoplasty effectively maintains nasal length, tip projection, and rotation.
- This technique appears to reduce dead space, mitigating the risk of pollybeak deformity.

