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Facial Plast Surg
DOI: 10.1055/a-2773-5517
Original Research

Enhancing Nasal Tip Control: The Role of Septum Anchorage Sutures in Modern Rhinoplasty

Authors

  • Jorge A. Espinosa-Reyes 

    1   Department of Otolaryngology and Facial Plastic and Reconstructive Surgery, The Face and Nose Institute, Universidad Javeriana Cali, Cali, Colombia
    2   Department of Facial Plastic Surgery, Universidad Militar Nueva Granada, Bogotá, Colombia

  • Juan C. Ochoa-Álvarez 

    3   Department of Otolaryngology and Facial Plastic and Reconstructive Surgery, Private Practice Clínica INO, Bogotá, Colombia

  • Rodrigo F. F. P. García 

    4   Department of Otolaryngology and Facial Plastic and Reconstructive Surgery, Private Practice, Hospital Angeles Roma, Ciudad de México, México
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Abstract

Introduction

The septocolumellar suture technique has shown consistent efficacy in achieving precise nasal tip aesthetics for over 20 years. This study aims to evaluate the long-term outcomes of primary endonasal rhinoplasty.

Methods

Retrospectively analyze 1,096 consecutive patients who underwent primary endonasal rhinoplasty using the septocolumellar suture technique between March 2005 and March 2025. The procedure anchors the medial crura to the caudal septum at variable distances from the anterior nasal spine, allowing control of tip projection and rotation. Objective and photographic analyses assessed the nasal tip parameters, including projection, rotation, shape, deviation, alar width, and flare. Statistical significance was set at p < 0.001.

Results

Long-term stability of nasal tip projection and rotation was maintained in 96% of the patients at a minimum 12-month follow-up. All the evaluated parameters demonstrated statistically significant improvement (p < 0.001). The revision and complication rates were 3.2 and <1%, respectively.

Conclusion

The septocolumellar suture technique is a reliable and minimally invasive method for nasal tip refinement in rhinoplasty. It ensures stable aesthetic outcomes while preserving nasal support and functional integrity. This technique effectively enhances tip projection in mestizo patients using intrinsic anatomy and can be applied in both open and closed approaches.

Keywords

septocolumelar suture - nasal tip positioning - nasal tip preservation - rhinoplasty - medial crura - caudal septum - nasal tip projection

Declaration of GenAI Use

In the preparation of this article, generative artificial intelligence (AI) tools were used to aid in the composition and linguistic refinement of “Introduction” and “Discussion” sections. Specifically, ChatGPT (OpenAI, GPT-4, accessed May 20, 2025) was employed to enhance grammatical accuracy and readability in English. An example prompt used was: “Improve the flow and clarity of this paragraph discussing the indications for septocolumellar suture.” No AI tool was employed for the data analysis, figure generation, or derivation of scientific conclusions. The authors reviewed and edited all the AI-assisted outputs to ensure accuracy and integrity. Potential limitations include the risk of subtle contextual misinterpretation by AI, which was mitigated through a comprehensive manual revision. The authors have reviewed and edited the text and take full responsibility for the content of the article.


Data Availability Statement

All relevant data supporting the findings of this study are contained in the article and its supplementary materials. Additional anonymized datasets used and analyzed during the current study are available from the corresponding author upon reasonable request.


Ethical Approval

This study was conducted in compliance with the Declaration of Helsinki and local ethical guidelines. All participants provided informed consent, permitting the use of anonymized clinical data and images for academic publication.




Publication History

Received: 29 October 2025

Accepted: 14 December 2025

Accepted Manuscript online:
19 December 2025

Article published online:
08 January 2026

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