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Rhinoplasty tutorial >> The nasion >> page 7
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The bone, when it is
chiseled off, usually comes out in a delicate curved slice, as we see
above. Similar to removing a bony hump, we don't want to over-correct,
taking too much out in the first pass, so
I like to remove the excess nasion bone in smaller pieces, repeating the cut until the
nose looks right.
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| | Click on any image in this tutorial to see a greatly-enlarged version |
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However, when the
nasion is quite prominent, and I know a great deal will have to be removed, I'll
take a large chunk in each pass of the chisel. Above, we see two huge
pieces of radix removed from a patient's nose.
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If a large piece of
radix needs to be removed, it can be taken in multiple, more delicate passes of
the osteotome. The photograph above shows radix bone
that was removed in multiple smaller pieces, all from one nose. The top
scale on the ruler is inches, the bottom centimeters.
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The pieces of nasion
bone shown above left and right were also taken in multiple thin shavings of the
nasion, using the radix chisel.
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In the following chapter,
Odd Tip Cartilages, we'll go back to the
tip of the nose. The lower lateral cartilages give the tip its shape, and
we'll explore some of the wild variations in size and shape that those
cartilages can take.
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