Open Rhinoplasty (Part 1) Trimming Nostril Hair Northern Virginia

In this video, I'm simply demonstrating the first part of an external otherwise known as an open rhinoplasty. In any rhinoplasty, the nostril hairs must be trimmed short to be able to see the boundaries between cartilage, the vestibular skin, the mucosa, and the different anatomic parts of the inside of the nose. Proper Incision placements In an open rhinoplasty, the incisions are called marginal incisions, which are at the inferior border of the lower lateral cartilages, also known as the caudal borders. When I'm turning the nostrils over to be able to trim the hairs, you can actually see what's poking right there and I'm showing that with a scissor tip. That was the bottom border of the lower lateral cartilage on the right side of the patient and now I'm showing the left side. In the old days, the incisions were called rim incisions and they were lower down along the nostril rim. That created problems during healing such as notching in scar tissue. The marginal incision is a much better anatomic incision. As you can see, the patient is asleep under general anesthesia and the proper safe setting in either a hospital or the hospital surgery center. We don't do this in the office or in small surgery centers that are ill equipped. Sterility, good equipment, good anesthesia and good assistance are very important. Stay tuned for part two.