Background:The septocolumellar suture technique has shown consistent efficacy in achieving
precise nasal tip aesthetics for over 20 years. This study aim to evaluate the long-term
outcomes of primary endonasal rhinoplasty.Methods:Retrospectively analyz 1,096 consecutive
patients who underwent primary endonasal rhinoplasty using the septocolumellar suture
technique between March 2005 and March 2025. The procedure anchors the medial crura
to the caudal septum at variable distances from the anterior nasal spine, allowing
control of tip projection and rotation. Objective and photographic analyses assessed
the nasal tip parameters, including projection, rotation, shape, deviation, alar width,
and flare. Statistical significance was set at p < 0.001.Results:Long-term stability
of nasal tip projection and rotation was maintained in 96% of the patients at a minimum
12-month follow-up. All the evaluated parameters demonstrated statistically significant
improvement (p < 0.001). The revision and complication rate were 3.2%, and <1%, respectively.Conclusion:The
septocolumellar suture technique is a reliable and minimally invasive method for nasal
tip refinement in rhinoplasty. It ensures stable aesthetic outcomes while preserving
nasal support and functional integrity. This technique effectively enhances tip projection
in mestizo patients using intrinsic anatomy, and can be applied in both open and closed
approaches.
