The Multi-Lock System for Rhinoplasty.

Abstract

Among the greatest challenges in rhinoplasty are setting the nasal tip contour and projection, and avoiding excessive upward rotation of the nose. Many suture and graft fixation techniques have attempted to achieve this result but may still produce results lacking in refinement. This study aims to describe in detail a new approach to stabilize the nasal tip for a durable and more predictable result. Twenty-eight surgeries were performed by the author, following a standardized technique which included: a modified distal onlay dorsal graft, a modified columella strut, and bilateral caudal septal sliver grafts. Follow-ups were conducted with all patients for at least 365 days. Twelve patients had follow-ups ranging from 456 to 619 days. At the nasal tip there was no loss of projection or rotation. One patient had a traumatic nasal fracture and left the study. Two patients had unilateral alar retraction not related to the technique described. One patient with thin nasal skin was submitted to a surgical revision to thin the caudal septal extension grafts and improve the nasal airflow. The Multi-Lock System for rhinoplasty is a good option to assure nasal length as well as projection and rotation of the tip. Also, it seemed to decrease the dead space of the supra-tip area which avoided pollybeak deformity. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.