Home/Cosmetic Surgery For Women/Cosmetic Surgery For Men/Plastic Surgery After Massive
Weight Loss/Thermage®/Botox®/Skin Care/Injectable Skin Fillers/The Office
Privacy/Contact Us/Sitemap
Nasal Tip Sutures Part I: The Evolution

Behmand R.A., Ghavami A, Guyuron B.


Suture techniques for reshaping the nasal tip have been in use
for many decades. However, the past two decades have been
the most influential in the advancement of the procedures
commonly used today. This report details the origin of the
major tip suture techniques and tracks their evolution through
the years. The early techniques in tip rhinoplasty share a basic
principle: the sacrifice of lateral crus integrity to augment the
middle and medial crural cartilage to gain tip projection and
height. These techniques often disrupt the support mechanisms
of the tip lobule, leading to undesirable postoperative results,
including supratip fullness, tip asymmetry, tip drop, and an
overoperated appearance. Modern nasal tip surgery is founded
on the philosophy that suture placement does not simply secure
partially excised sections of alar cartilage; rather it aims to
directly reshape and reposition the various nasal tip
components. The principal suturing methods available in the
repertoire of today's rhinoplasty surgeon are the medial crural
suture, the middle crura suture, the interdomal suture, the
transdomal suture, the lateral crura suture, the medial crura
anchor suture, the tip rotation suture, the medial crura
footplate suture, and the lateral crura convexity control suture.
This report acknowledges past contributions to nasal tip
surgery and looks at the recent evolution of techniques
commonly used today.
Return To Publications Page.

Return To Dr. Behmand Page.


1776 Ygnacio Valley Rd, Suite 108
Walnut Creek, California 94598
Tel: (925) 939-9200
Ramin A. Behmand, M.D.
Plastic & Cosmetic Surgery
1776 Ygnacio Valley Rd, Suite 108, Walnut Creek, California  94598
Telephone: (925) 939-9200  Facsimile: (925) 939-9205

Home/Cosmetic Surgery For Women/Cosmetic Surgery For Men/Plastic Surgery After Massive
Weight Loss/Thermage®/Botox®/Skin Care/Injectable Skin Fillers/The Office
Privacy/Contact Us/Sitemap