An Alternative Suture Technique in Rhinoplasty: Septoalar Suspension Suture

To investigate the effectiveness of a suture technique called septoalar suspension suture (SASS) on the nasolabial angle (NLA).

Between 2017 and 2023, 64 patients who were operated using this suture technique were objectively evaluated by measuring their NLAs preoperatively and more than 1 year postoperatively. Besides, patient satisfaction was evaluated subjectively by filling out the rhinoplasty outcome evaluation (ROE) questionnaire preoperatively and more than 1 year postoperatively.

A total of 64 patients were included in the study. There were 29 male and 35 female patients. The mean age of male patients was 27.52 ± 6.41 years, and the mean age of female patients was 24.91 ± 5.63 years. There was no significant difference between the mean ages of male and female patients (P = 0.071). A significant difference was found between the preoperative and postoperative values of ROE scores both in all patients, and in male or female patients (P < 0.001). A significant difference was found in terms of preoperative and postoperative changes of NLAs both in all patients, and in male or female patients (P < 0.001). A significant difference was observed in terms of preoperative and postoperative changes in failure scores both in all patients, and in male or female patients (P < 0.001).

In the authors' study, they found that SASS is effective in adjusting NLA.