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Updated: Jul 12, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Internal suspension sutures in tip rhinoplasty
Andrés Alvo1,2
1University of Chile, Santiago, Chile. andresalvo@gmail.com.
Background:
Achieving an aesthetically pleasant tip rotation is paramount in rhinoplasty, and these results should be long-lasting. However, even powerful structural techniques such as septal extension grafts can lose rotation over time, as most support depends on the attachment of the graft to the septal cartilage.
Methods:
We describe a simple suture technique to strengthen tip support in rhinoplasty, by suspending it to the cartilaginous dorsum, providing additional support to the tip against forces, such as gravity, scar contraction and muscle tension.
Conclusions:
Combining traditional techniques with suspension sutures can improve intraoperative results and could enhance long-term tip stability.
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