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 for 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 [inaudible 00:00:37] 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 the 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 and scar tissue. The marginal incisions are much better
and atomic incision. As you can see, the patient is asleep on a 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.

Doctor POV: Open Phinoplasty (Part 1)

Dr. Shervin Naderi prepares a patient for an open rhinoplasty.