Lip-lift With Rhinoplasty For a Better Cosmetic Result скачать в хорошем качестве

Lip-lift With Rhinoplasty For a Better Cosmetic Result

Upper lip length affects the appearance of aesthetic nasal proportions and perception of nasal tip projection. Adjusting the upper lip length according to nasal tip projection enhances the aesthetic result of a rhinoplasty, but incisions for the 2 procedures are typically made at different sites, leaving a small island of columellar skin between the incisions. This procedure video illustrates a surgical technique to accomplish both with a single columellar incision in a combined subnasal and endonasal lip-lift approach: Subnasal lip-lift and rhinoplasty Skin incision (00:20) Skin closure (00:45), and Endonasal lip-lift and rhinoplasty Skin flaps (00:52) Dome with scars (01:05) Septal extension graft (01:20) Skin closure (01:35) Depressor septi muscle resection (01:45) Nasal exposure (01:55) Tongue in groove (02:20) Lip fixation (02:30) Skin closure (02:40) Click http://ja.ma/2xV3N8z for procedure images and a complete description of the technique. (In the video diagram, the incision lines are labeled as follows: (a) Caudal incision line of subnasal lip-lift (dark blue) (b) Cranial incision line of subnasal lip-lift (light blue) (c) Craniocaudal dimension of medial skin resection (d) Caudal incision line of endonasal lip-lift (dark green) (e) Cranial incision line of endonasal lip-lift (lime green) (f), Craniocaudal dimension of lateral skin resection (g) Endonasal skin flap (h) Recipient site for endonasal skin flap; (i) Posterior part of medial crus; dotted line (j) Marginal incision for the open rhinoplasty.) This video depicts a medical procedure and is intended for use by medical professionals.