Endonasal rhinoplasty is not the same as open rhinoplasty performed through a keyhole. The mindset is different and it is a “right-brain” endeavor, that is, one in which the surgeon must translate many complex esthetic concepts into a unified vision for the end result. How to arrive at the “right” unified vision is the exercise requiring diligent study and practice particularly in identifying preoperative deficiencies (such as low radix and inadequate tip projection), which is more difficult…

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