Interdomal Suture through a Nondelivery Endonasal Approach: A New Technique.
BACKGROUND
The use of interdomal sutures for tip refinement is common in open rhinoplasty and in endonasal rhinoplasty using a delivery technique, but there is paucity of reports in the literature regarding the use of interdomal suturing techniques when the nondelivery endonasal approach is chosen.


OBJECTIVE
The authors describe a technique designed to refine the nasal tip with an interdomal suture placed through a nondelivery endonasal approach.


METHODS
In this study, the authors retrospectively review the cases of 45 patients who underwent endonasal rhinoplasty with the authors' interdomal suturing technique between the years 2011 and 2013. The average age of the patients was 25.3 years. Intercrural sutures (PDS 4.0 straight needle, Cincinnati, Ohio) were placed as mattress-like suture in the tip region, with the knot buried between both alar cartilages. The suture is tightened progressively according to the tip definition and narrowing sought.


RESULTS
The patients were followed for 12 months. All of the patients demonstrated a significant reduction in lobule and tip widths. This series had only 1 complication of tip asymmetry that was revised 1 year after the initial operation. There were no cases of infection, allergic reaction, or extrusion of the suture.


CONCLUSIONS
Despite the lack of a large volume of patients, our study confirms that this technique is indeed an attractive and highly predictable option for achieving adequate tip refinement and definition when using a nondelivery endonasal rhinoplasty.
Plastic Surgery Unit, Meir Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; and Plastic Surgery Unit, Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Marcos
M
Harel
Plastic Surgery Unit, Meir Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; and Plastic Surgery Unit, Wolfson Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Lior
L
Leibou