Controlling Supratip Break and Tip Rotation and Projection with Preservation of the Pitanguy Ligament

Area of Science:

• Plastic Surgery
• Otolaryngology

Background:

• The supratip break, tip projection, and tip rotation are critical aesthetic elements in rhinoplasty.
• The Pitanguy ligament's role in nasal tip support and aesthetics is increasingly recognized.

Purpose of the Study:

• To describe and evaluate a novel closed rhinoplasty technique focused on protecting the Pitanguy ligament.
• To assess the aesthetic and functional outcomes of this technique in a patient cohort.

Main Methods:

• Retrospective review of 156 patients undergoing closed rhinoplasty with Pitanguy ligament protection and suturing.
• The technique involves dissecting and preserving the Pitanguy ligament in the lower third of the nose.

Main Results:

• Excellent patient satisfaction (90%) and high Rhinoplasty Outcome Evaluation scores (median 86.5) were reported 12 months post-surgery.
• No revision surgeries were required in any of the evaluated cases.
• The technique demonstrated improved supratip break, tip projection, and tip rotation.

Conclusions:

• Protecting and suturing the Pitanguy ligament in closed rhinoplasty offers significant aesthetic and functional advantages.
• This technique enhances nasal tip definition and patient-reported outcomes.