The Medial Crural Suture Technique: Long-Term Columellar Narrowing Resulting in Increased Tip Projection and Rotation

  • Helen Perakis
  • Achih H. Chen


The technique of columellar narrowing in individuals with widely separated medial crura is described by the authors. The medial crural suture technique is a procedure that can be performed in addition to other techniques utilized during aesthetic rhinoplasty to address undesirable characteristics. Other techniques such as the lateral crural flap technique can be used concurrently to increase nasal tip rotation while simultaneously decreasing tip projection. In the rhinoplasty patient presenting with a widened columella due to widely separated medial crura, partial removal of the levator septi nasi muscle with absorbable transcutaneous suture approximation of the medial crura maintains lasting narrowing of the preoperatively widened columella.


Pythagorean Theorem Alar Cartilage Lower Lateral Cartilage Nasolabial Angle Medial Crura 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Otolaryngology – Head and Neck SurgeryGeorgia Health Sciences UniversityAugustaUSA
  2. 2.Department of Plastic and Reconstructive SurgeryUniversity of MinnesotaMinneapolisUSA
  3. 3.The Georgia Center for Facial Plastic SurgeryEvansUSA
  4. 4.Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck SurgeryGeorgia Health Sciences UniversityAugustaUSA

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