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A NOVEL SUTURE TECHNIQUE FOR REDUCTION OF A WIDE COLUMELLAR BASE: OUR EXPERIENCE
Dubravko Manestar1, Marko Velepič2, Marica Lidia Mačkić2
1School of Medicine, University of Rijeka, Rijeka, Croatia.
Acta Clinica Croatica
|February 4, 2026
Summary
This study introduces a new suturing technique to narrow wide or asymmetric columellar bases. The method improved nostril size and columellar width, yielding excellent functional and cosmetic outcomes in 30 patients.
Area of Science:
- Plastic Surgery
- Rhinoplasty Techniques
- Facial Aesthetic Surgery
Background:
- Wide or asymmetric columellar bases present functional and cosmetic challenges.
- Existing surgical techniques may have limitations in addressing these specific nasal deformities.
Purpose of the Study:
- To describe and evaluate a novel suturing technique for narrowing the columellar base.
- To assess the functional and cosmetic outcomes of this surgical intervention.
Main Methods:
- A cohort of 30 patients underwent the described suturing technique.
- Preoperative and immediate postoperative nostril diameter and columella width measurements were recorded.
Main Results:
- The technique significantly increased mean right nostril diameter (8.9 mm to 11.0 mm) and left nostril diameter (8.0 mm to 10.9 mm).
- A significant reduction in mean columella width was observed (16.7 mm to 11.8 mm).
- Statistical significance was achieved for all measured changes (p<0.0001).
Conclusions:
- The described suturing technique is effective in narrowing the columellar base.
- The procedure leads to excellent functional and cosmetic results, improving nasal aesthetics and potentially function.
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