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Our approach to semi-open primary rhinoplasty involves a reverse-U (Tajima) incision on the cleft side and a marginal incision on the non-cleft side. Incision marking on cleft side (a), Tajima incision (b), dissection over the cartilage plane and release of fibrofatty tissue (c), approximation of LLCs with inter-domal stitches using 4-0 polydioxanone suture (d), excision of skin over the cleft side ala and closure of nasal incisions (e)
