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Internal suspension sutures in tip rhinoplasty

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Abstract

Background

Achieving an aesthetically pleasant tip rotation is paramount in rhinoplasty, and these results should be long-lasting. However, even powerful structural techniques such as septal extension grafts can lose rotation over time, as most support depends on the attachment of the graft to the septal cartilage.

Methods

We describe a simple suture technique to strengthen tip support in rhinoplasty, by suspending it to the cartilaginous dorsum, providing additional support to the tip against forces, such as gravity, scar contraction and muscle tension.

Conclusions

Combining traditional techniques with suspension sutures can improve intraoperative results and could enhance long-term tip stability.

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Correspondence to Andrés Alvo.

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Alvo, A. Internal suspension sutures in tip rhinoplasty. Eur Arch Otorhinolaryngol 281, 523–525 (2024). https://doi.org/10.1007/s00405-023-08276-3

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  • DOI: https://doi.org/10.1007/s00405-023-08276-3

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