THE USE of stainless-steel septocolumellar sutures in cosmetic rhinoplasty is effective and practical in the prevention of secondary dropping of the nasal tip. The surgical technique commonly used in rhinoplasty has advanced to such an extent that one may be justified in expecting a highly satisfactory improvement in the appearance of the nose at the end of the operation. If the result as seen in the operating room was permanent, all would be well. Unfortunately, a permanent result does not always follow. Changes frequently take place in the contour of the nose after operation, the distressing change being a dropping of the nasal tip. When this happens, the tip sags and takes on an unpleasing rounded pendulous shape, especially noticeable on profile. Secondary dropping of the tip ruins more results in rhinoplasty than any other feature of the operation.
The rounded feature of the tip after it has "dropped" is
GUSTAVE B. FRED. USE OF STAINLESS-STEEL SUTURES IN RHINOPLASTY. AMA Arch Otolaryngol. 1952;56(5):479–484. doi:10.1001/archotol.1952.00710020503002