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METHODS: Through fi nal stages of open rhinoplasty , at fi rst the area of bony vault concavity on nasal skin was demarcated. Then the “ mirror image “ of this area on mucosal lining was marked and infi ltrated with hemostatic solution. With a 2mm non guarded osteotome through multiple internal micro-osteotomy and micro fractures , the bone was weakened. Then with a gradual insideout force with a blunt convex surface of a large size Cottle periosteal elevator , the osteotomized bony vault was straightened . The Internal splint was applied.

Submandibular and Parotid Gland Reduction in Facelift Surgery