Dome Bind Suture Technique Decreases Infratip Fullness: A Quantitative Photographic Analysis
Methods/Technique: A retrospective review of 51 patients who underwent rhinoplasty by RD and RW was carried out. All surgical maneuvers were documented. Photographic analysis was performed quantitatively using rhinobase software. Results were recorded as ratio of change relative to a stable anatomic reference. This was chosen as the intercanthal distance on frontal view and lateral canthus to lateral commissure distance on lateral view.
Results/Complications: 51 patients were included who underwent the dome bind suture technique. They included 83% female and 17% male. On frontal view, the ratio of the infratip lobule on post surgical images versus preintervention was 0.84, which represents a reduction of 16%. This was not apparent on lateral view, with a post/pre ratio of 0.99.
Conclusion: There are a large number of surgical maneuvers in rhinoplasty used to address an equally diverse array of clinical and aesthetic issues. Here we have demonstrated that the dome bind technique is useful at reducing infratip lobule fullness and is a valuable tool in the armamentarium of the rhinoplasty surgeon. This difference was noted in the frontal view but less appreciable on the lateral view. Further investigation with larger numbers will be necessary to isolate the effect of each surgical maneuver on specific outcomes.