A New Modified Suture Technique Providing Tip Stabilization in Rhinoplasty: Anterior Extended Suture (AES)

Purpose: The suture techniques used have become one of the factors that directly affect the success of the surgery. The aim of this study is to present the way of application and surgical results of a modified suture technique, "Anterior Extended Suture" (AES) that we have developed to stabilize the nasal tip, adjust projection and rotation, and preserve the skeletal structure while achieving favorable functional and aesthetic outcomes in rhinoplasty. Methods: 37 patients, 24 women and 13 men, were included in the study. AES technique was used in all patients. All patients were primary cases, and their ages ranged from 18 to 49 years (mean 24.7 years). The follow-up period for all patients ranged from 6 to 24 months (mean 9.08 months). The preoperative, intraoperative and postoperative photographs in lateral position photographs of the patients were assessed for nasal tip projection (NP) and nasolabial angle (NLA). Rotation was calculated by measuring the NLA and NP was calculated by measuring the Goode ratios. The difference between preoperative, intraoperative, and postoperative measurements was evaluated statistically . For statistical significance, value of p <0.05 was accepted. Results: A statistically significant difference was found between the preoperative and postoperative Goode ratios (p < 0.001), while no significant difference was found between intraoperative and postoperative Goode ratios. A statistically significant difference was found between preoperative and postoperative NLA values (p < 0.001), while no significant difference was found between intraoperative and postoperative NLA values. Conclusion: AES a modified suture technique that we have adapted during tip surgery in rhinoplasty, which we have observed to be practical, stable, functional and yielding favorable aesthetic results.