- Incisions
- Hump removal
- Nasal septum
- Tip narrowing
- The nasal bones
- Splint
- Tip support
- Shorten the nose
- The nasal spine
- Revision surgery
- The nasion
- Odd cartilages
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Rhinoplasty tutorial >> Incisions >> page 6
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Now, finally, it's time
to make the trans-columellar incision. I make the first half of the
incision, starting at the apex of the upside down "V." My left
hand is pulling up on the tip of the nose, and the baby finger of my right hand
is pulling down on the columella, to place the columellar skin under tension and
make it easier to cut accurately.
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The other side of the
incision is made. The fact that the incision can be pulled open a little
(above right) is my indication that I succeeded in cutting all the way through the skin.
We mentioned that the columellar skin is very thin. The surgeon must be careful while making this incision so he avoids nicking the cartilages that reside in the columella, underneath that thin skin. |
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