Hump recurrence remains a significant challenge after preservation rhinoplasty using the low septal strip technique.
The quadrangular cartilage serves as a rotational advancement flap anchored to the anterior nasal spine, requiring stable fixation to prevent backward rotation and deformity.
A novel kite-shaped suture fixation technique redistributes tension and significantly lowers hump recurrence and revision rates compared to conventional mattress sutures.
This technique is straightforward, reproducible, and enhances long-term postoperative stability of the nasal dorsum.
