Abstract
The septocolumellar sutures are very helpful to obtain planned rotation and projection.
The goal of this study is to revitalize the septocolumellar techniques described before
and present an easy new classification for these sutures, and to present their multiple
uses on the same patient as a new option for surgeons. Eighty patients were involved
in this retrospective study. All the patients were females except one. A detailed
preoperative preparation was performed on all patients by following the principles
of precision profileplasty. In this study, five main types of septocolumellar sutures
were used. Type 4 septocolumellar suture was used in 39 cases, type 3 in 33, type
2 in 22, type 1 in 5, and type 5 in 2 cases. In 21 cases, more than one suture was
used. In conclusion, the new practical classification presented in this study gives
the surgeon powerful tools to reshape the tip during surgery.
Keywords
septocolumellar suture - projection - rotation - tip surgery
