Can Interdomal Suturing Really Correct a Bulbous Nasal Tip?
The answer is no. First, let us explain what interdomal suturing involves. It is a technique that brings the domes of the nasal tip cartilages on both sides closer together using sutures, as illustrated below.
In the illustration, the nasal tip appears to become smaller. This effect can occur when a large nasal tip is caused by strong tip cartilages that are widely spread apart, with thin rather than thick overlying skin. This anatomy is more commonly seen in European patients. In Thai patients, a large nasal tip is often associated with thick skin and a thick fatty layer, together with smaller tip cartilages that spread outward rather than projecting upright as in the European pattern. Therefore, interdomal suturing, which acts on the cartilage, often produces less noticeable results in Thai patients.
Besides interdomal suturing, several other tip-suturing techniques can help reduce nasal tip size. These are commonly performed during open rhinoplasty with structural correction of the nasal tip, which can achieve a more noticeable reduction in tip size in Thai patients.
