Interlocked transdomal suture technique for the wide interdomal space in rhinoplasty

Multiple techniques are available for the treatment of the wide interdomal space in rhinoplasty. A simple, predictable method for narrowing the interdomal space using a suture technique is described herein. The procedure uses a pair of permanent sutures that are designed to minimize distortion, valve impingement, and overcorrection. It can be performed through intranasal or external approaches. This article will define the wide interdomal space, describe the technique, and demonstrate the efficacy of the technique in 250 rhinoplasty procedures.