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Учебники / Rhinoplasty Dissection Manual Toriumi 1999

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11

Other Maneuvers

PLUMPING GRAFTS

Plumpin g grafts may be used to open up an acute nasolabial angle, improve a retracted columella, and support a deficient nasal base. Dissect a midcolumellar precise pocket to ju st above the nasal spine. Place multiple small pieces of cartilage (I rom to 2 mm), har­ vested from the septum or ear, in the pocket. These grafts will augment the deficient area (Fig. 1) (1,2). Plumping grafts placed below the medial crural footplates will increase sup­ port of the nasal base (Appendix F)

A,B

Figure 1. Plumping grafts may improve a retracted columella.

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