The medial crural suture technique: Long-term columellar narrowing resulting in increased tip projection and rotation

Helen Perakis, Achih H. Chen

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The technique of columellar narrowing in individuals with widely separated medial crura is described by the authors. The medial crural suture technique is a procedure that can be performed in addition to other techniques utilized during aesthetic rhinoplasty to address undesirable characteristics. Other techniques such as the lateral crural flap technique can be used concurrently to increase nasal tip rotation while simultaneously decreasing tip projection. In the rhinoplasty patient presenting with a widened columella due to widely separated medial crura, partial removal of the levator septi nasi muscle with absorbable transcutaneous suture approximation of the medial crura maintains lasting narrowing of the preoperatively widened columella.

Original languageEnglish (US)
Title of host publicationAdvanced Aesthetic Rhinoplasty
Subtitle of host publicationArt, Science, and New Clinical Techniques
PublisherSpringer-Verlag Berlin Heidelberg
Pages911-918
Number of pages8
ISBN (Electronic)9783642280535
ISBN (Print)3642280528, 9783642280528
DOIs
StatePublished - Dec 1 2013

ASJC Scopus subject areas

  • Medicine(all)

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    Perakis, H., & Chen, A. H. (2013). The medial crural suture technique: Long-term columellar narrowing resulting in increased tip projection and rotation. In Advanced Aesthetic Rhinoplasty: Art, Science, and New Clinical Techniques (pp. 911-918). Springer-Verlag Berlin Heidelberg. https://doi.org/10.1007/978-3-642-28053-5_64