Facial plast Surg 2016; 32(01): 070-075
DOI: 10.1055/s-0035-1570124
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mitek Suspension of the Lateral Nasal Wall

James R. White Jr.1, Grant S. Hamilton III1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota
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Publication History

Publication Date:
10 February 2016 (online)


The nasal valve has long been described as the anatomical boundary most likely to inhibit nasal airflow and lead to subsequent nasal obstruction. Although many procedures can address this area to improve the nasal airway, for over 20 years, suture lateralization of the external nasal valve has been described as a minimally invasive technique that can improve nasal breathing. We report our modification of the standard technique in which we lateralize the placement of the bone-anchored suture and incorporate Gore-Tex within the nasal vestibular incision to prevent tissue migration.