A type of incision to access the septal cartilage for septal cartilage. It is done at the front of the septum where access is the closest to the surgeon. If it is only done on one side, this is a hemi-transfixion incision. If it is done on both sides, it is a full transfixion incision.

Both of these incisions can cause weakening of the nasal tip support, so this has to be taken into account during rhinoplasty to ensure that the tip will have proper support after rhinoplasty.