title: Closed rhinoplasty with marginal incision: our experience and results.
abstract: Supporters of traditional rhinoplasty and promoters of open rhinoplasty have debated their approaches for many years. From among different possible techniques, a surgeon must always choose the approach that provides the best aesthetic result. The surgeon's experience and artistic sense are essential for the closed technique, whereby most of the corrections are performed without exposing the nasal frame. The open technique allows a greater operating range with a direct view of the nasal structure, resulting in improved precision in modeling the cartilages. However, the absence of intact skin cover exposes the surgeon to a less precise overall aesthetic evaluation. This report highlights the marginal technique, described in 1990 by Guerrerosantos, which uses a two-sided circular incision permitting complete dissection of the alar cartilages and the overhead skin cover of the columella. This approach, together with the extramucous technique, permits complete exposure of the skin and nasal septum without a columella incision. Therefore, the marginal technique is suitable for primary rhinoplasty cases in which complex modeling of the nasal tip and an excellent aesthetic result are required.
authors.affiliation: Department of Plastic Surgery, University of Turin, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Bruschi
authors.forename: Maria Alessandra
authors.initials: MA
authors.lastname: Bocchiotti
authors.forename: Maurizio
authors.initials: M
authors.lastname: Verga
authors.forename: Nicola
authors.initials: N
authors.lastname: Kefalas
authors.forename: Marco
authors.initials: M
authors.lastname: Fraccalvieri
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques