TY - JOUR AU - Gruber, Ronald P. AB - 184 Aesthetic Surgery Journal 30(2) Ronald P. Gruber, MD DOI: 10.1177/1090820X10369158 limiting his dorsal undermining to the true dorsum, it is possible that his suspension suture is keeping the tip in its The article by Dr. Tiryaki suggests a minimally invasive new position. Admittedly, undermining the sides of the technique to rotate the nose and improve a minimal hump. nose makes the procedure a little more invasive, but in The fundamental component of the procedure is a suspen- view of the enormous propensity for recurrence under ten- sion suture after undermining the dorsum. Basically, the tip sion, I find the price well worth it. Even a permanent CS complex is suspended to the nasion region with a perma- suture or two can have trouble preventing recurrence in nent suture. It is a novel method to support the tip from a some heavy, thick-skinned noses. far-away structure—the periosteum of the nasion/glabella I am impressed that Dr. Tiryaki was able to avoid region. His description and Figure 1 make the procedure humpectomies in the cases he presented. I would find it crystal clear, and the results are reported from 86 patients. necessary to do some humpectomies—particularly in the Apparently, it only TI - Commentary JO - Aesthetic Surgery Journal DO - 10.1177/1090820X10369158 DA - 2010-03-01 UR - https://www.deepdyve.com/lp/oxford-university-press/commentary-eUHC0bW03F SP - 184 EP - 185 VL - 30 IS - 2 DP - DeepDyve ER -