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The Soft Triangle Tension Graft
Ashkan Ghavami1,2, Neil M Vranis1,2,3, Nathaniel L Villanueva2,4
1From the Aesthetic Surgery Fellowship of Los Angeles, Clinical Faculty, University of Southern California.
Plastic and Reconstructive Surgery
|January 22, 2025
Summary
The novel soft triangle tension graft (STTG) effectively controls nasal tip tension and supports soft triangles with a favorable safety profile. This rhinoplasty technique offers a versatile, low-complication option for surgeons.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
- Nasal Anatomy
Background:
- Rhinoplasty often requires tip grafting to enhance volume in specific nasal areas.
- A novel tip graft, the soft triangle tension graft (STTG), is derived from the patient's own lower lateral cartilage.
- The STTG aims to manage medial crura tension, support soft triangles, and provide subtle tip volume.
Purpose of the Study:
- To evaluate the efficacy and safety of the novel soft triangle tension graft (STTG) in rhinoplasty.
- To assess the STTG's ability to control tip tension and buttress soft triangles.
Main Methods:
- A retrospective review of patients who underwent rhinoplasty using the STTG.
- Data collection included patient demographics, operative details, and postoperative complications.
Main Results:
- The STTG was used in 58 patients (53 female, average age 33), with an average follow-up of 12 months.
- No postoperative complications such as graft issues, infection, or need for revision surgery were observed.
Conclusions:
- The STTG primarily functions to control tension and provide support, rather than solely adding volume.
- Its pliable nature allows for versatile application, even in patients with thin skin, demonstrating a strong safety profile.
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