Can I get tip plasty using only sutures?

Question

Can I get a tip plasty using only suture techniques? I have a bulbous tip with thick skin and would prefer minimally invasive and preservative procedures. I am interested in changing my tip projection, lateral Crura/dome width and maybe alar base width and nostril shape subtly. Is this kind of procedure still relevant in the medical aesthetic field? I have read studies but many are ten years old or older, and would like to know updated information . Thank you

Patrick Tansley, MSc, MD, FRCS(Plast) · Answer

Thank you for your enquiry. The underlying anatomical basis for the features you do not like will likely require open surgery, cartilage resection and suture techniques along with thinning of the soft tissues and possible alar base resection. They are unlikely to be able to be addressed by sutures only. Expert clinical assessment is required in the first instance.

Stephen Kleid, MBBS, FRACS · Answer

If I understand your question, you want an incision-less tip-refining operation using only sutures?
That cannot be done.
I would do an open rhinoplasty, with minimal cartilage removal, using sutures to refine, reshape, and elevate your tip.

Can I get tip plasty using only sutures?

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