fig1

Figure 1. Illustration of the concepts for septal repositioning in a foundation-based primary rhinoplasty. The septum is released from the anterior nasal spine and nasal floor and repositioned to midline. An upper buccal sulcus incision with supraperiosteal dissection over the anterior maxilla and subperiosteal dissection along the lateral nasal sidewall. A back cut in the mucoperiosteum allows the flap to be advanced en bloc with the ala. The flap is inset into the septum to produce a nasal floor. Copyright © 2022 Tse RW and Fisher DM. Reprinted with permission from Sage Publications^[32].