What is the pathway of dissection during an open rhinoplasty procedure?

During an open rhinoplasty procedure, the dissection primarily follows the pathway of over the perichondrium and under the periosteum. This technique allows for better exposure of the nasal cartilages and bony structures while minimizing damage to the surrounding soft tissues. By dissecting over the perichondrium, the surgeon is able to preserve blood supply to the cartilage, which is critical for healing and maintaining the integrity of the nasal framework. Additionally, separating the tissue under the periosteum provides access to the bony elements for modifications that may be needed during the procedure.

Choosing this pathway facilitates a controlled approach, allowing for precise adjustments and corrections in the aesthetic and functional aspects of the nose. It is essential for a successful outcome, ensuring that both the structural support and the aesthetic appearance are appropriately addressed. Understanding the correct dissection route is vital for any surgeon performing rhinoplasty, as it directly influences the surgical outcomes and potential complications.