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Role of Upper Lateral Cartilage Tension Spanning Suture in Restoring the Dorsal Aesthetic Lines in Rhinoplasty

Geissler, Palmyra J. M.D.; Roostaeian, Jason M.D.; Lee, Michael R. M.D.; Unger, Jacob J. M.D.; Rohrich, Rod J. M.D.

Plastic and Reconstructive Surgery: January 2014 - Volume 133 - Issue 1 - p 7e–11e
doi: 10.1097/PRS.0b013e3182a01470
Cosmetic: Ideas and Innovations

Summary: Dorsal hump reduction can lead to significant aesthetic and functional deformities with distortion of the dorsal aesthetic lines without first preserving and subsequently restoring proper position of the upper lateral cartilages. The senior author (R.J.R.) previously described the component dorsal hump reduction to preserve the integrity of the upper lateral cartilages, thereby avoiding routine use of spreader grafts. In this study, the authors introduce an efficient and reproducible technique they call the upper lateral cartilage tension spanning suture to reconstitute the upper lateral cartilages into anatomical position. The authors have found this technique to consistently achieve smooth and symmetric contour to the nasal dorsum and pleasing dorsal aesthetic lines.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

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Dallas, Texas

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Received for publication January 9, 2013; accepted February 13, 2013.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

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Rod J. Rohrich, M.D., Department of Plastic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, Texas 75390-9132, Rod.Rohrich@UTSouthwestern.edu

©2014American Society of Plastic Surgeons