FIGURE 21.1 A sublabial incision is made between the first molars.
FIGURE 21.2 Circumvestibular incisions are made allowing the lower lateral cartilages to be reflected with the nasal skin.
FIGURE 21.3 Scissors are used to elevate the nasal skin in a fashion similar to a closed rhinoplasty.
FIGURE 21.4 The cheek and nasal skin is elevated exposing the anterior maxilla and piriform aperture. Note the preservation of the inferior orbital nerves.
POSTOPERATIVE MANAGEMENT
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