Rhinoplasty: a simplified, three-stitch, open tip suture technique. Part I: primary rhinoplasty.

Abstract:

:Tip suture techniques offer a reliable and dramatic method of tip modification without needing to interrupt the alar rim strip or add tip grafts. The present simplified three-stitch technique consists of the following: (1) a strut suture to fix the columella strut between the crura, (2) bilateral domal creation sutures to create tip definition, and (3) a domal equalization suture to narrow and align the domes. If required, columella septal sutures can be added; either a dorsal rotational suture or a transfixion projection suture can be used. This simplified method represents a refinement based on more than 13 years of experience with tip suture techniques. It does not require a complex operative sequence or specialized sutures. Primary indications are moderate tip deformities of inadequate definition and excessive width and certain specific tip deformities, including the parenthesis tip and nostril/tip disproportion. The primary contraindications are for patients with minor tip deformities that are best done through a closed approach and those with severe tip deformities requiring an open structure graft. The technique is simple, efficacious, and easily learned.

journal_name

Plast Reconstr Surg

authors

Daniel RK

doi

10.1097/00006534-199904050-00022

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

1491-502

issue

5

eissn

0032-1052

issn

1529-4242

journal_volume

103

pub_type

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