This video demonstrates a medial crua septal suture for nasal tip projection. After the open approach, the caudal septum as well as the medial crua are dissected and this demonstrates a suture that connects the medial crua to the caudal septum, which controls tip rotation as well as projection. Marks are carefully made along the caudal septum as well as the medial crua and an interrupted suture, which attaches the posterior half of the medial crua on one side to the caudal septum that is demarcated to the remaining posterior portion of the medial crua is performed using a monofilament suture. After gauging the amount of tip rotation and projection, this suture is then carefully tied down, thereby watching and observing the amount of tip rotation that is occurring concurrently. This suture can then be certainly adjusted for desired projection of the tip as well as treatment of columnella show. This suture can be performed in an open approach or a closed approach and this is the before and after of a patient who underwent this procedure.

medial crura septal suture

nasal tip projection

nasal tip rotation

surgical technique

before-and-after visuals