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BACKGROUND: Supratip depression is a common complication after preservation rhinoplasty. OBJECTIVES: This aim of this paper was to present a simple surgical maneuver to prevent supratip depression. METHODS: Thirty-six patients who underwent closed-approach, low-septal-resection dorsal preservation rhinoplasty between January and June 2021 were included in this retrospective study. Depending on the operation performed on Pitanguy's midline ligament, the patients were divided into 2 groups as follows: (1) a group in which Pitanguy's midline ligament was transected (transection group); and (2) a group in which Pitanguy's midline ligament was preserved (preservation group). Standardized postoperative 6-month lateral-view photographs were scanned for the presence of supratip depression or pollybeak deformity. The Rhinoplasty Outcome Evaluation (ROE) scale was applied at 6 months. RESULTS: Supratip depression was observed in 4 patients in the preservation group (n = 16), but was not observed in any of the patients in the transection group (n = 20; P 0.05). CONCLUSIONS: Transecting Pitanguy's midline ligament reduces the likelihood of supratip depression and does not affect the likelihood of pollybeak deformity in closed-approach, low-septal-resection dorsal preservation rhinoplasty.
Erdal et al. (Sun,) studied this question.