Title: Supratip refinement suture to adjust the supratip contour in aesthetic asian rhinoplasty

Biography:

Ju Yun Jang has been the Director of QiaoJiaRen Aesthetic Plastic Surgery Clinic, China, Réal Aesthetic Plastic Surgery Clinic, Korea and RE Aesthetic Plastic Surgery Clinic, Korea. He is the former Consulting Plastic Surgeon of NAVER Medical Counseling, Korea, Medical Adviser of Hans Biomed, Korea and the Adjunct Professor, Seoul National University Hospital, Korea. He is the Clinical Instructor at Department of Plastic and Reconstructive Surgery, School of Medicine, Seoul National University, Korea. He obtained Fellowship from Department of Plastic and Reconstructive Surgery, Seoul National, University Hospital, Korea. He was awarded with Certified Board of Plastic and Reconstructive Surgery (No. 1626), Minister for Health, Welfare and Family Affairs, Korea. He completed Master’s Degree from the Department of Plastic and Reconstructive Surgery, Korea

Abstract

Purpose: Supratip fullness, which leads to aesthetically unpleasing nasal tip, is a common problem in rhinoplasty. The convexity of cartilaginous framework on supratip area accounts for substantial part of the etiology. In this presentation, the author describes the technique for surgical correction of convexity of supratip area and controlling the degree of concavity of supratip.

Methods: A retrospective chart and intraoperative photo review was conducted for 91 consecutive patients (22 primary rhinoplasty and 69 secondary rhinoplasty). In all cases the author used columellar strut and shield graft or onlay graft for tip projection and derotation graft for controlling tip rotation. Supratip refinement suture was performed in 49 patients who presented undesirable supratip contour or supratip convexity.

Results: The supratip refinement suture allowed the desirable supratip contour achieved in all cases with no evidence of infection, bleeding, hematoma and deformity.

Conclusion: The author’s suture technique is a simple and reliable procedure for adjusting the degree of the supratip concavity, with the original cartilage preserved.