Comparison Between Using Monocryl Suture and Polypropylene Suture in Closure of Alar Base Excision in Rhinoplasty

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Wound Healing

Background:

• Rhinoplasty is a common yet challenging cosmetic procedure.
• Alar base reduction is a frequent surgical technique within rhinoplasty.
• Achieving aesthetically pleasing scars is crucial for patient satisfaction.

Purpose of the Study:

• To compare the scar outcomes of alar base resection using two distinct suture materials.
• To evaluate patient satisfaction with scar results after alar base reduction surgery.

Main Methods:

• Retrospective cohort study at King Abdulaziz University Hospital.
• Patients undergoing alar base resection were divided into two groups.
• Group 1: wound closure with Polypropylene 6/0 sutures; Group 2: wound closure with Monocryl 6/0 sutures.
• Post-operative photography and Visual Analog Scale (VAS) were used for scar assessment.

Main Results:

• Eighty patients were included (40 per group).
• Unnoticeable scars were reported in 85% of the Polypropylene group and 82.5% of the Monocryl group.
• No statistically significant difference in scar appearance was observed between the two groups (P = .75).

Conclusions:

• Both Polypropylene and Monocryl sutures are effective for alar base wound closure.
• The choice of suture material does not significantly impact scar quality in alar base reduction surgery.
• Satisfactory scar outcomes can be achieved with either suture type.