[Critical study of surgical approaches in esthetic rhinoplasty]

Not only the approach is the first but also one of the most important steps of every surgical operation. This is specially true about the nose, which is a cavernous, complex and inextensible structure. Nevertheless these difficulties it is possible to have a good exposure allowing to make the greatest number of aesthetic rhinoplasties, from endonasal incisions. In spite of a recent vogue external incisions seem to be reserved for few special and difficult cases or secondary corrections.