How does a rhinoplasty surgeon use sutures to lift the tip of the nose?
Doctor Answers 9
No External Sutures Involved
Lifting the tip of the nose is a standard part of rhinoplasty and does not involve external sutures. A variety of maneuvers will result in lifting the tip, but most frequently the procedure involves removing some of the distal septal cartilage (shortening it), often with removal of some soft tissue and mucosa as well. Sutures are part of the repair, but are all internal.
Nose Tip Reshaping
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Concerns about nasal tip sutures
Thanks for the question. Internal sutures are typically not used to raise the nasal tip but they are often used to reshape the underlying cartilage framework resulting in a raised nasal tip. Internal sutures can also be used to correct asymmetries of the cartilaginous framework. All of these sutures are usually internal and due not penetrate the outer layers of the nasal skin. If an open rhinoplasty was done, the sutures may be in the transcolumellar incision or the internal mucosal lining which had an incision at the time of the rhinoplasty. Whatever the reason for the sutures, abnormal scarring of the skin is a rare complication of rhinoplasties. I recommend seeking a consultation with a board-certified plastic surgeon with experience in performing rhinoplasties.
Lifting the Tip of the Nose
Lifting, or "rotating" the tip of the nose is a common maneuver in rhinoplasty involving manipulation of the cartilage and internal suturing. All of the suturing is internal, so you shouldn't have any bizarre scars or threads at the end. I recommend consulting with an experienced rhinoplasty surgeon who can explain the procedure in more detail based on your nose shape. Some surgeons also have computer simulation to allow you to "see" your new nose, which is a helpful communication tool between the doctor and patient (we have the Vectra at our office). Best of luck!
Dr. Michael Epstein
MAE Plastic Surgery
How to lift a nasal tip
Suture Modifications for Nasal Tip
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.