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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
PubMed
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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.

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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.