**6. Interdomal suture**

**5.6. Cephalic trimming**

**Figure 6.** Cephalic trimming.

**Figure 5.** Skeletonization is completed.

754 A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

enough space for tip rotation (Figure 6). [11].

In this technique, a narrow strip of lateral crural cartilage is marked, incised and separated from underlying skin. The main purpose of cephalic trimming is to refine the tip and make

Interdomal suture is a simple suture that approximates the two lateral crura. This simple suture is the most effective approach to correct a boxy and/or bifid tip (Figure 8.(

**Figure 8.** Interdomal suture

#### **6.1. Common mistakes**

The interdomal suture should be done in a way that two domes form a 45 degree angle to each other. Careless non-anatomic interdomal suturing will provide a pointed tip that has no definition and is not aesthetically pleasing. [12-15].
