wasperformed FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Rhinoplasty tutorial >> Incisions >> page 11
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Now the tip cartilages have been completely revealed (the right tip cartilage is colored blue), and we can see the cartilage that forms the bridge of the nose (colored pink).

In the photos above, a small metal retractor is holding the nasal skin up so that we can see the inside of the nose.


Click on any image in this tutorial to see a greatly-enlarged version
This picture shows a different patient's nose, after the incisions have been made and the skin has been elevated off of the tip and the lower part of the bridge of the nose.  The right lower lateral cartilage is colored blue, the left tip cartilage is in pink, and in green is the cartilage that forms the part of the nose just above the tip.  It's easy to see the cartilages clearly here because the dissection is quite clean. (Yes, we do use the word "dissect" even though the patient is alive.  The word is not used only for dead things, like the frog you dissected in 9th grade biology class.)

Note also that there is almost no bleeding here.  There are planes and regions in the nose where blood vessels are plentiful, and other areas where there are no blood vessels.  A skillful surgeon can avoid the area where the blood vessels reside, minimizing the amount of bleeding during the operation.  With less bleeding, the surgeon can see more clearly, too, and accomplish more.



Clear all red checks in the Rhinoplasty Tutorial




All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg