Suture techniques for the nasal tip.
The authors use 5 basic suture techniques in tip plasty: transdomal, interdomal, lateral crural mattress, columella-septal, and intercrural, incorporating these techniques into a simple algorithm to control tip cartilage shape. They then introduce the universal horizontal mattress suture, designed to control all undesirable nasal cartilage convexities/concavities, and provide a new suturing technique that can be applied in all patients in whom a change of cartilage shape, including tip cartilages, is desired. They also apply these suture techniques in patients undergoing closed and secondary rhinoplasty.
Gruber
Ronald P
RP
Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA, USA.
Weintraub
Jennifer
J
Pomerantz
Jason
J
D000328:Adult; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D055171:Nasal Cartilages; D009666:Nose / Q000601:surgery*; D012086:Reoperation; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques