Can suture modification techniques be used in closed rhinoplasty?

Can suture techniques such as the interdomal suture to reshape the tip cartilages be done using closed rhinoplasty? Are there any limitations to tip reshaping in closed rhinoplasty?

Doctor Answers 3

Suture modification techniques for closed rhinoplasty

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Intra-domal and inter-domal  techniques are routinely used in closed rhinoplasty  asurgery. Tip suturing techniques are used to narrow and refine the nasal tip in combination with a conservative cartilage removal when necessary. For many examples, please see our closed rhinoplasty  photo  gallery link below

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Can suture modification techniques be used in closed rhinoplasty?

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Yes.  I do this in almost every rhinoplasty.

Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Surgeon experience

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The key is your surgeon's experience.  Many currently will use "open"  or external approaches only for tip remodeling in rhinoplasty, while others prefer the "closed" or endonasal approach.   You will likely find that the majority of surgeons will suggest an external approach as it improves overall visibility.  However, there are surgeons who will prefer the endonasal "closed" approach and are quite comfortable with all tip reshaping techniques using it.   So the key is discussing these important issues in advance with your surgeon. 

John Frodel, MD
Atlanta Facial Plastic Surgeon

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.