Cosmetic surgery. 2. Rhinoplasty.
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Correction of the crooked nasal pyramid without reduction of nasal size is difficult using customary techniques. In the small nose without need for hump removal, the bony portion of the external nose can be shifted centrally after nasomaxillary and frontonasal osteotomies have been done. The correction is maintained either by appropriate resection of the long nasal bone at the nasomaxillary osteotomy or by blocking the short nasal bone forward with a graft in the nasomaxillary osteotomy. The technique is useful in the occasional septorhinoplasty in which nasal size should be preserved.
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The correction of secondary nasal deformities produced by excessive resection poses difficult problems for the surgeon. We describe our technique using cartilage autografts. Shaping the cartilage carefully, using Rethi's incision, and immobilization of the grafts have yielded excellent results in our patients.
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