Anatomy of a rhinoplasty--saw technique

Great latitude is given the concept of individual variations in part and in the entirety, but generally corrective rhinoplasty requires anatomic alteration in five areas: removal of a dorsal hump (Fig 5-9A), narrowing of the bony nasal arch (Fig 5-9A), lowering and/or shortening of the upper lateral cartilages (Fig 5-9B), narrowing and lowering of the nasal tip (lower lateral cartilage) (Fig 5-9C), and shortening and tilting of the cartilaginous septum (Fig 5-9D). Proper appreciation of the contribution of each of these anatomic parts to the entire unit of nasal form will aid the surgeon in more consistently reaching the desired functional and cosmetic goal in corrective rhinoplasty.