- 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 3
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The two parts of the
incision are now joined, completing the marginal incision. In the photo above
left, the little red cut on the left is the lateral part of the incision, and
the red cut next to the columella is the medial part of the incision.
Above right, I am joining those two pieces of the incision.
Note that the surgeon's non-dominant hand is as important as his dominant hand: the non-dominant hand positions the tissue, holds a secondary instrument, puts tension on a cartilage that might need to be under tension in order to be cut accurately, or performs one of a myriad other tasks. Here, my left hand is holding a retractor that exposes the inside of the right nostril. My left finger is pressing on the outside of the nose to expose the area to cut and hold it taught for the scalpel. The scalpel, of course, is held in the dominant hand. |
| Click on any image in this tutorial to see a greatly-enlarged version |
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Once the marginal
incision has been made, I put a small pointed pair of scissors into the incision and expose
the cartilage whose margin we were following. This is the "lower
lateral cartilage" of the nose, and it controls much of the size and
shape and position of the tip of the nose. Since we're just getting
started here, we can only see a little of the cartilage, which is colored blue in the
image on the right.
Note that we haven't yet touched the location of our external incision, which is highlighted in red. |
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