The Fusion Sling Hook Suspension as a powerful tool in tip support - Surgical Considerations.
Journal:
Facial plastic surgery : FPS
Published Date:
Jul 16, 2025
Abstract
Introduction Tip support in rhinoplasty is one of the main concerns during surgery. The reconstruction of the natural mechanisms of the tip for stabilization has become an increasingly fascinating and critical area of study. Objectives & hypotheses This article evaluates the fusion sling hook suspension technique for tip support in rhinoplasties. Study design Prospective observational case series. Methods A prospective analysis of 643 consecutive primary rhinoplasties performed between January 2020 and December 2024 was conducted, during which a careful dissection of the Fusion Sling anatomy was performed. Of these, 557 cases utilised the Fusion Sling Hook Suspension technique. Data were reported in accordance with the STROBE guidelines. Results The stability provided by the Fusion Sling Hook Manoeuvre proved to be highly effective and durable throughout the observation period . Seven patients (1.3%) who underwent the Fusion Sling Hook Suspension demonstrated some degree of loss of tip projection or rotation, among whom 4 (0.7%) required revision surgery. Conclusion The Fusion Sling Flap offers stability, biomechanical logic, and anatomical continuity to the tip. Its strategic use can reduce the need for grafting or decrease the mechanical load placed on grafts, prevent late failures, and ultimately offer surgeons a more precise and versatile tool for long-lasting, natural tip projection. KEYWORDS: Fusion sling, Tip support, Pitanguy flap, Nasal tip, Preservation Rhinoplasty ACKNOWLEDGEMENTS: Artificial intelligence (AI)-based tools were used solely to assist with English language editing and did not contribute to the conceptual or substantive content of the manuscript.
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