title: Endonasal suture techniques in tip rhinoplasty.
abstract: Suture modification techniques have long served as reliable methods to surgically improve nasal tip contour by allowing control of width, projection, and rotation during rhinoplasty. Tip abnormalities characterized by a wide or broad shape are particularly amenable to such techniques. In the senior author's hands (SWP), the endonasal double-dome tip-sculpting technique has become a workhorse for the correction of the wide tip complex. When combined with additional techniques, the double-dome technique allows for the correction of various abnormalities falling under the umbrella of a broad tip (ie, boxy, bifid, bulbous, trapezoid, amorphous), while still adhering to the tenets of modern rhinoplasty philosophy. The authors present a paradigm for surgical planning, along with a series of case studies highlighting the capabilities of various suture techniques performed with the endonasal approach.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Perkins
authors.forename: Amit
authors.initials: A
authors.lastname: Patel
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009296:Nasal Cavity / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000473:pathology / Q000601:surgery*; D012225:Rhinoplasty; D013536:Suture Techniques