Cranio-caudal transdomal sutures for the nasal tip correction.

The goal of the nasal tip plastic surgery is to reduce or increase, change the shape or/and projection, rotation and contour the tip. This report presents our technique for the reduction and lifting of the nasal tip with a proportional reduction (trim) of the alar cartilage and suture technique--cranio-caudal transdomal sutures. The aim of this study is to analyze and compare the effectiveness of three tipplasty suture techniques to modify nasal tip projection and rotation. Our research is based on 297 operated patients, 165 of them were women (55, 5%) and 132 were men (44, 5%). Rhinoseptoplasty with open approach was applied to 144 of them (48, 4%) and to 153 (51, 6%) of the patients was applied endonasal (delivery) approach. In this paper we compare the postoperative results of three suture methods. We discuss advantages and shortcomings of our technique, compared with the other surgical procedures. There is no one "right" way to nasal tip surgery, only optimal methods for individual cases.