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    Double Opposing U Suture For Septal Multiple Axis Deviations
    (Lippincott Williams & Wilkins, 2023) Bilkay, Ufuk; Yegin, Mehmet Emre; Guer, Ersin; Bilkay, Oezge
    Septal cartilage deviations comprise the majority of deformities related to revision rhinoplasty operations. Therefore, the primary operation should be as eventless and durable as possible. Many techniques have been suggested, but most present with a monoplanar correction and fixation of the septum. This study aims to demonstrate a suture method that fixates and broadens the deviated septum. This method employs a single-stranded suture passing below the spinal periosteum, pulling the posterior and anterior portions of the septal base separately. It was utilized in 1578 patients, of which only 36 necessitated a revision of septoplasty in the past 11 years (2010-2021). With a revision rate of 2.29%, this method should be considered a preferable choice over many techniques described in the literature.
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    Thread-Filler: A Standardized Combination Therapy
    (2025) Öztürk Bilkay, Özge; Yeğin, Mehmet Emre; Bilkay, Ufuk
    Advanced technology and increasing knowledge about aging faces have combined to create the illusion of thread lifting to replace surgical interventions. However, results that came far beyond expectations led to a heavy suspicion of these tools. However, combined treatments with fillers would have better outcomes with a synergetic effect. In this study, 52 patients were treated with a specific thread, whereas soft tissue support was added to supervene the lifting effect of the threads. With a mean age of 48 years, these patients were treated with 3 pairs of mid and lower facial areas, and one for eyebrows. With a median amount of 5 mL fillers were added simultaneously at the same treatment plan. The follow-up period was 32 months. Assessment with a Likert Scale questionnaire revealed most of the patients (n = 42) were delighted, whereas only one patient was unsatisfied. The only unsatisfied patient experienced the most frustrating complication, which was thread removal due to infection. The literature shows unauthorized, unspecialized applications of such medical devices cause failure and loss of reliability. Therefore, the most important point of this technique is the sterile setting. Other issues that are discussed in this paper also aim to direct the reader to achieve the most benefit of these 2 techniques. Copyright © 2024 by Mutaz B. Habal, MD.