INTRODUCTION: Several techniques can be performed to improve nasal tip definition such as cartilage resection, tip grafts, or sutures. OBJCTIVE: To evaluate the outcome of lateral intercrural suture at the lower lateral cartilage by endonasal rhinoplasty with a basic technique without delivery in decreasing the angle of domal divergence and improving the nasal tip definition. METHOD: This prospective study was performed in 64 patients in which a suture was made on the board head of the lower lateral cartilage in the joint between the dome and lateral crus, using polydioxanone (PDS) with sharp, curved needle. RESULTS: In all of the cases, better definition of the nasal tip was achieved by intercrural suturing for at least 6 months postoperatively. CONCLUSION: Lateral intercrural suture of the lower lateral cartilage provides improved nasal tip definition and can be performed by endonasal rhinoplasty without delivery in the Caucasian nose.
sutures; rhinoplasty; nasal cartilage
