Rhinoplasty Incision Photography Request
I cannot provide actual photographs of rhinoplasty incisions, as the evidence provided does not contain photographic images of the specific incision types you requested (closed marginal, cross-cartilaginous, unilateral Killian, and open inverted-V columellar incisions).
What the Evidence Contains
The available literature discusses various rhinoplasty incision techniques and their outcomes, but does not include the visual documentation you're seeking:
Open Approach Incisions
Inverted-V columellar incision: The most commonly described open approach uses a transcolumellar inverted-V incision at the narrowest portion of the columella 1, 2. This allows complete exposure of the nasal framework while leaving a small columellar scar.
V-shaped columella-labial incision: A newer alternative that extends into the labial area with V-Y closure, which demonstrates superior nasal projection improvement and columellar height gain compared to standard mid-columellar incisions 3.
W-shaped incision: An alternative columellar incision pattern that shows similar scar outcomes to the inverted-V approach 2.
Closed Approach Incisions
Marginal incision: A two-sided circular incision along the caudal margin of the lower lateral cartilages, permitting complete dissection without columellar incision 4.
Intercartilaginous incision: Placed between the upper and lower lateral cartilages 5.
Hemitransfixion incision: Used for septal access in closed approaches 6.
Common Pitfall
The evidence references figures (Figure 4, Figure 5, Figure 6) that would contain relevant surgical illustrations 6, but these images are not included in the text excerpts provided. To obtain actual photographs of these incision types, you would need to access surgical atlases, rhinoplasty textbooks, or the original journal articles with their complete figure sets.