Facial plast Surg 2013; 29(03): 167-170
DOI: 10.1055/s-0033-1347003
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Alar-Spanning Suture for Tip Contouring in Closed Approach Rhinoplasty for African–Caucasian Noses

Antonio Carlos Cedin
Hospital da Beneficencia Portuguesa de São Paulo, ent Maestro Cardim São Paulo, Brazil
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Publication History

Publication Date:
12 June 2013 (online)


The alar-spanning suture is one of the easiest techniques for correcting the width of the alar complex that reduces the bulbous tip of African–Caucasian patients. This conservative technique does not weaken the lateral crura and yields long- term predictable results. Rhinoplastic surgeons should keep in mind this useful and reliable tool in their options for refinement of these challenging wide tips and not create so dramatic a change that the appearance is not consonant with the patient's ethnic heritage. Despite cosmetic surgeons usually performing it through an external columellar incision approach, it is possible, in many cases, to do it in a closed access, and thus avoid the risk of hyperpigmentation or hypertrophic scarring.