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Surgical technique.

Speed \u200b\u200b preoperatively. Preoperative markings

endorrinoplastia is called rhinoplasty or closed because no any external incision in the nose , as opposed to or exorrinoplastia Rethi incision in columella as a gateway to the nasal structures underlying skin.

This rhinoplasty is to mimic the nose leptorhines (thin, fine-tuned tip rotated and projected upward, nostrils with holes almost vertical and slightly oblique to the outside) generally well developed alar cartilage and osteo-cartlaginoso back with a slight concavity from the nasal root to nasal tip.

points and lines are marked anatomical reference for identifying cartilaginous structures and bone to be modified to be increased or decreased.

The most salient point of the domus marks the columella-tip angle will be rotated and projected at the end of surgery.

are marked: cephalic border to be excised from the lateral cross of alar cartilage, excessive osteo-cartilaginous dorsum to be removed and the osteotomy line base of the nasal pyramid.

And the tip is depressed downward by checking whether the tip has good support, if not return quickly to release the tip to its original position means you need support (graft) cartilage.

are observed nostrils in general and see if the outer parts beyond the imaginary line that runs to the inner edge, if so, you will need, probably alar resection , which is decided at the end of the rhinoplasty .