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closed rhinoplasty. Incision intercartilaginous . Access to the nasal dorsum
Closed rhinoplasty

intercartilaginous incision is made

An incision 2 mm below the internal nasal valve , not cross the boundary between lateral and triangular continues medially by the edge of the wing head and continues down along the anterior border of septum - the subseptum ( membranous septum) - up to the anterior nasal spine (NAS)

The incisón intercartilaginous takes place every hand, bilateral and through it you can access using blunt scissors to delicate nasal divulsion back above the top of septum, below the triangular cartilage and above the nasal bone in a plane supraperiostal to nasal root.
divulsion continues in the same plane and bilaterally undocked the lateral nasal wall, the alveolar maxilla upward nasal root to link these apophyses with the nasal bones, lateral wall preparing osteotomy for later .