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.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00405-023-08276-3/MediaObjects/405_2023_8276_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00405-023-08276-3/MediaObjects/405_2023_8276_Fig2_HTML.png)
Similar content being viewed by others
References
Afrooz PN, Carboy JA, Mendez BM, Rohrich RJ (2019) Cephalic rotation of the nasal tip. Plast Reconstr Surg 143:734e-e743
Akkus AM, Eryilmaz E, Guneren E (2013) Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplasty. Aesthetic Plast Surg 37:666–673
Bellamy JL, Rohrich RJ (2023) Superiority of the septal extension graft over the columellar strut graft in primary rhinoplasty: improved long-term tip stability. Plast Reconstr Surg 152:332–339
Neves JC, Martin PR (2023) Cable and mirror sutures and the nasal septum sublaminar dissection. Facial Plast Surg 39:417–426
Davidson TM, Murakami WT (1983) Tip suspension suture for superior tip rotation in rhinoplasty. Laryngoscope 93:1076–1080
Cárdenas JC, Carvajal J, Ruiz A (2006) Securing nasal tip rotation through suspension suture technique. Plast Reconstr Surg 117:1750–1755
Bohluli B, Varedi P, Nazari S, Bagheri SC (2013) Lateral crural suspension flap: a novel technique to modify and stabilize the nasolabial angle. J Oral Maxillofac Surg 71(9):1572–1576
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author has no financial relationship to disclose.
Sponsorships
None.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Supplementary file1 (MP4 131334 KB)
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Alvo, A. Internal suspension sutures in tip rhinoplasty. Eur Arch Otorhinolaryngol 281, 523–525 (2024). https://doi.org/10.1007/s00405-023-08276-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-023-08276-3