Changes in nasal aesthetics after Le Fort I osteotomies have been reported by many authors.6-7 Typically, there is widening of the base of the nose and associated flattening and thinning of the upper lip, visible in loss of the external vermilion border. The most striking aspect of these studies is the extreme variability in the nasolabial response to the Le Fort I procedures. The soft-tissue response is related in part to the amount and direction of the maxillary movement, quality and quantity of soft tissues, treatment of nasal crest of the maxilla, and management of soft tissue during the wound closure. Nasal widening is only partially dependent on the amount of skeletal movement. Most important is the amount of subperiosteal dissection and elevation accomplished. The facial muscles become detached from the nasolabial area and the anterior nasal spine, making the outcome frequently asymmetric and unpredictable.2 Therefore, secondary rhinoplasty often becomes necessary after a period of 6 to 12 months following bimaxillary surgery. Nevertheless, the secondary effect on nasal aesthetics induced by Le Fort I osteotomy needs to be minimized whenever possible during the first operation: controlling the widening of the alar base is one of the major aspects. Some authors assessed the concept of combining orthognathic correction and cosmetic surgery as a 1-stage procedure.8-9 They also proposed combining mandible orthognathic surgery with a full rhinoplasty. When performed by a surgeon with sufficient experience, these procedures can be combined without any difficulty other than lengthening the total operation time. Our proposed suture, with its cross-linking and fixation to an attached gingiva, appears to control the induced movements of the alar base well, while providing reliable long-term results. The direction of the sutures induces a similar refixation to the previous position of the transverse nasalis muscles, which are stripped of their osseous attachments during the Le Fort I osteotomies. Furthermore, there is a pulling out effect on the philtrum area (Figures 1 and 2), thereby giving a more physiologic effect to facial movements when the patient is smiling. This method is more likely to avoid a secondary rhinoplasty because of involuntary and unaesthetic nasolabial changes after orthognathic surgery.