Endonasal dome bind with incorporation of a columellar strut reduces Infratip fullness: a quantitative photographic analysis

Objective

To demonstrate the effectiveness of the dome bind suture technique with incorporation of a columellar strut in reducing infratip lobule fullness in closed rhinoplasty by use of quantitative photographic analysis.

Methods

A retrospective review of patients who underwent rhinoplasty by two senior authors 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

Sixty-three patients were included who underwent the dome bind suture technique. On frontal view, the ratio of the infratip lobule on post-surgical images versus preintervention was 0.88, which represents a reduction of 12 % (P < 0.01). This was not apparent on lateral view, with a postoperative/preoperative ratio of 1.02 (P = 0.53).

Conclusion

We have demonstrated that the endonasal dome bind technique with incorporation of a columellar strut is useful at reducing infratip lobule fullness on frontal view and is a valuable tool in the armamentarium of the rhinoplasty surgeon.