An Alternative Suture Technique in Rhinoplasty: Septoalar Suspension Suture.

[OBJECTIVE] To investigate the effectiveness of a suture technique called septoalar suspension suture (SASS) on the nasolabial angle (NLA).

[METHODS] Between 2017 and 2023, 64 patients who were operated using this suture technique were objectively evaluated by measuring their NLAs preoperatively and more than 1 year postoperatively. Besides, patient satisfaction was evaluated subjectively by filling out the rhinoplasty outcome evaluation (ROE) questionnaire preoperatively and more than 1 year postoperatively.

[RESULTS] A total of 64 patients were included in the study. There were 29 male and 35 female patients. The mean age of male patients was 27.52 ± 6.41 years, and the mean age of female patients was 24.91 ± 5.63 years. There was no significant difference between the mean ages of male and female patients (P = 0.071). A significant difference was found between the preoperative and postoperative values of ROE scores both in all patients, and in male or female patients (P < 0.001). A significant difference was found in terms of preoperative and postoperative changes of NLAs both in all patients, and in male or female patients (P < 0.001). A significant difference was observed in terms of preoperative and postoperative changes in failure scores both in all patients, and in male or female patients (P < 0.001).

[CONCLUSION] In the authors' study, they found that SASS is effective in adjusting NLA.