| Abstrakt: |
Cosmetic rhinoplasty usually involves the lowering of the nasal dorsum to create either a straight or a concave profile. This procedure requires the proportionate lowering of both the osseous and the cartilaginous nasal dorsum. After the nose is skeletonized and transfixed, the osseous nasal "hump" is removed. The upper lateral cartilages are separated from the septum, and the lateral osteotomies are performed. These procedures are followed by lowering of the dorsum.Several methods for the lowering of the cartilaginous dorsum are available. Among these are the following.Scissors of various types, including small, large, straight, curved, and angulated, may be used. These can be used successfully only when the amount of septum to be trimmed is considerable (2 to 3 mm. or more). If, however, it is desired to trim less than 2 mm. (commonly done in making the final fine adjustments), the scissors will |
