Dome suturing question. Any suggestions?
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Doctor Answers 7
Domal suturing with permanent sutures
Sutures Used For Tip Refinement
Sutures and nasal dome shape
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Dome Suturing Technique
The type of suture used during nasal tip surgery is not as important as the execution of the actual dome suturing technique during the operation. I have seen all kinds of material used during cartilage suturing (some permanent, some absorbable) and long term results are comparable for both. The majority of surgeons however use permanent material because its concealable and lasts longer, obviously. The cartilage is reshaped with the suture and it is the reshaping process through suturing that gives the rhinoplasty permanence.
This is a hotly debated topic and was recently discussed at the Rhinoplasty Symposium at the American Society of Aesthetic Plastic Surgery annual meeting. The short answer is that permanent or absorable suture can be used and does not really make a difference in terms of the outcome that can be achieve. HOWEVER, permanent suture is permanent and can lead to wound healing problems or infection, suture abscesses and other issues which is why many surgeons no longer use permanent sutures. A consultation with a board certified plastic surgeon can help answer this question. Best of luck, MMT