Septocolumellar Suture in Closed Rhinoplasty

Developed by Prof. Tezel, Septocolumellar Suture in Closed Rhinoplasty is a new method that eliminates many defects by shaping the nasal tip either with little intervention or no intervention on the bone.

In this method, the cartilages of the nasal tip are shaped totally from inside the nose without any external incision or scars at all and then fixed onto the main load-bearing cartilage (septal cartilage) in the middle.

This allows for setting the height and angle of the nose to a millimetric accuracy and emerges as the primary factor bringing along a natural result. This method is dubbed as the invention that put an end to droopy nose, a problem frequently complained about by patients and plastic surgeons alike.

Thanks to the Septocolumellar Suture in Closed Rhinoplasty method developed by Prof. Erdem Tezel and published in Annals of Plastic Surgery (American Journal of Aesthetic and Plastic Surgery), a most prestigious peer-reviewed journal in the world, there is no need for a second operation at all. The method also has high efficacy in revision surgery and makes it possible to correct noses operated once or a couple of times previously.


This method (Septocolumellar Suture in Closed Rhinoplasty) ensures to attain quite good results in some patients with only a small intervention solely on cartilages that takes 20-25 minutes under local anesthesia.


Eliminating the common problem of a drooping nose and removing the appearance called “a hog nose”, this method sees the cartilages forming the nasal tip sutured and fixed to the septal cartilage, which can be considered as the load-bearing column in the nose.

Although it was previously required to incise the nasal tip externally to do this, the Septocolumellar Suture in Closed Rhinoplasty method allows for providing the desired angle and height on nasal tip via the sutures placed completely from inside the nose without any external incision. This method helps achieve natural-looking noses that do not give any hints about the operation and renders the achieved result permanent for a lifetime.



The late stage results of the method, which has been applied to hundreds of patients for about 15 years, are quite pleasing. Nasal bones are not carved in order to strike a balance between the nasal ridge and the nasal tip.

This method has 4 major and visible benefits:
* We intervene in the bone tissue minimally.
* We achieve a more natural appearance.
* We prevent any droopy noses.
* Recovery period is remarkably shortened.

The use of the Septocolumellar Suture in Closed Rhinoplasty eliminates the need to break the septum. An ideal appearance can be achieved in eligible patients by only a smally intervention on the nasal tip.


Success in nasal operations cannot be considered separately from breathing, the most important function of the nose. The Septocolumellar Suture in Closed Rhinoplasty offers a solution to “breathing problems” as well: Cartilages forming the nasal wings are fixed at a suitable position and the angles enabling breathing are preserved.



Patients to undergo surgery for the first time or those who have been operated once or a couple of times in the past can both have the final appearance they desire and breathe much better. This method may even help with the elimination of snoring.”


There are a couple of fine details that matter for a natural result. One of these is the appearance of the nasal root, the area located between the two eyebrows. Depth and angle in this area where the nose and forehead meet are quite important in achieving a natural look. Almost everyone can tell that a nose that looks like it’s merged with the forehead and has the same angle with the forehead is operated. Moreover, this causes a long appearance which is not in line with facial proportions. Even if success in the rest of the nose is an example of perfect skill, the failure in this small area just gives people away for being operated, which is more visible in photos. Instruments used previously fell short of providing a sharp angle, resulting in noses that are carved too much or has too much of a volume without any significant angle like a ram’s nose.

Prof. Erdem Tezel developed a rasp to provide the ideal nasofrontal angle. Angled Rasp and Its Use was published in the Journal of Plastic & Reconstructive Aesthetic Surgery, a most prestigious medical journal in the world, and was widely acknowledged. This instrument is designed by Prof. Tezel and produced in Turkey, and makes it much easier to achieve the ideal nasofrontal angle. A transition with a manifest angle between the forehead and the nose is a very important detail in attaining a natural appearance, and it is such details that form a natural and beautiful look.


Press coverage for Prof. Erdem Tezel: Have a look at all videos>


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