ObjectiveTo evaluate the short‐term effectiveness of using a 4‐suture technique to control nasal tip dynamics. The 4 sutures include a medial crural suture, bilateral intradomal sutures, and an interdomal suture.Study Design and SettingRetrospective photograph analysis of preoperative and postoperative photographs of 77 patients with respect to 7 dynamic variables: supratip break, projection, rotation, tip shape, tip definition, tip symmetry, and the presence of a double columellar break.ResultsSeventy‐four patients underwent primary rhinoplasty and had an overall average score of 5.2 on a −7 to +7 scale, with a mean follow‐up period of 3.8 months. The 3 patients undergoing revision rhinoplasty had an overall average score of 5.0 and a mean follow‐up of 8.7 months.ConclusionThe 4‐suture technique worked best with respect to projection and tip symmetry, although the technique proved to be an effective tool overall in controlling all 7 variables mentioned above.EBM rating: C‐4