The domes method permits facial plastic and different surgeons to extra exactly predict and management the specified rotation angle of the nasal tip in sufferers present process major rhinoplasty.
This process video illustrates the method with the next steps:
The nostril is marked for the specified place of the tip, and pre- and post-cartilaginous incisions are made.
The supply strategy is used to reveal the alar cartilages. The domes are marked. A conservative resection of the cephalic portion of the alar cartilages not extending to the lateral half of the lateral crus is carried out.
The alar peak must be 5 mm in the place of the brand new domes and seven mm lateral to the brand new domes.
The new domes are shaped by putting transdomal sutures 2 mm from the brand new domes.
A columellar strut graft is positioned between crural footplates and the brand new domes.
An anterior suture 6 mm under the brand new domes is positioned to attain a luminous aesthetic triangle on the degree of the nasal tip.
A posterior interdomal suture is positioned.
A posterior approximation of the lateral crura 2 mm from the brand new domes is carried out.
Once the rotation is verified, resection of the exceeding caudal septum and redundant vestibular pores and skin is carried out.
A septocolumellar suture is positioned to restore the nasal tip help mechanisms, and the incisions are closed.
For a full description of the method and its analysis in a case sequence, see https://ja.ma/2s8CpBc.
This video depicts a medical process and is meant for use by medical professionals.