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Temporal Stability of Nasal Tip Rotation and Projection Following Rhinoplasty Using a Novel Integrated Pentagonal Tip
Şamil Şahin1, Burak Erkmen1, Mehmet Nuri Elgörmüş2
1Department of Otolaryngology, Private ENT Practice, 34380 Istanbul, Turkey.
Medicina (Kaunas, Lithuania)
|June 26, 2026
Summary
The Pentagonal Tip Support Technique (PTST) in rhinoplasty shows significant early changes in nasal tip stability, with most occurring within six months. Later changes are minimal, regardless of skin type.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Surgical Techniques
Background:
- Nasal tip stability after rhinoplasty is challenging due to postoperative remodeling.
- Understanding temporal changes in nasal tip rotation and projection is crucial.
Purpose of the Study:
- To evaluate temporal changes in nasal tip rotation and projection after rhinoplasty using the Pentagonal Tip Support Technique (PTST).
Main Methods:
- Retrospective analysis of primary rhinoplasty patients using PTST.
- Standardized photographic assessments at intraoperative, 6-month, and 12-month follow-ups.
- Quantification of nasal tip rotation (nasolabial angle) and projection (Goode ratio).
Main Results:
- Both nasal tip rotation and projection showed statistically significant reductions over time.
- The majority of changes occurred within the first 6 months postoperatively.
- Later follow-up intervals (6-12 months) demonstrated smaller changes and a reduced rate of change, irrespective of skin type.
Conclusions:
- PTST is associated with early postoperative changes followed by stabilization.
- These temporal patterns may reflect healing dynamics and structural support.
- Further prospective studies are needed to compare PTST with other techniques over extended periods.
