Two Basic Rhinoplasty Procedures

Two Basic Rhinoplasty Procedures

There are two types of surgery to change the shape of the nose: open (external) and closed (internal).
The surgical procedure in which an exterior incision is performed in the space between the two nostrils is known as “open rhinoplasty,” to put it briefly. All incisions are made inside the nasal structure during a closed rhinoplasty.
Whether or not a surgeon uses a certain technique depends on his or her preferences and level of experience.
In an open rhinoplasty, the horizontal incision enables the skin to be elevated so that the cartilage at the tip of the nose may be seen and reached more easily. Open (external) rhinoplasty has the benefit of giving doctors more access to specific nasal components. The small exterior incision and potential for little scarring are drawbacks.
A closed rhinoplasty involves no exterior incisions and is performed totally inside the nose. Compared to the open process, this one requires more technical expertise and manual dexterity.
Plastic surgeons have long employed both open and closed treatments.
Compared to a closed technique, the surgeon may more easily see the cartilage and other inside structures of the nose when doing an open rhinoplasty. Additionally, he or she is better able to make adjustments with greater control and accuracy. In fact, there are some alterations that can only be made through an open rhinoplasty.
When doing more difficult surgeries, such as correcting significantly deviated nasal structures or sophisticated nasal abnormalities like cleft-lip rhinoplasty, open rhinoplasty is frequently the method of choice.
In addition to these more common treatments, cosmetic surgeons can use open rhinoplasty to fix a tip that is too big, droopy, pinched, or sticks out.
Closed rhinoplasty is usually the best option for small changes that can be made without having to make an incision on the outside of the nose and look inside.
All of the incisions are made inside the nose during a closed rhinoplasty, also known as an endonasal rhinoplasty. The nostrils’ small holes are used to execute the entire procedure. The decreased surgical access places the plastic surgeon in front of significant obstacles as well as certain technical constraints. This is especially true for rhinoplasty operations that are more intricate.
There is less recovery time needed after a closed rhinoplasty, and there is less edema. The outside of the nose is likewise scar-free. The open rhinoplasty method has some problems, like less direct visibility and not being able to get to the structure.
If your surgeon wants to do an open rhinoplasty and you are worried about scarring, ask to look at before and after pictures.
The surgeon’s comfort and background should be taken into account more than anything else when determining whether to perform an open or closed rhinoplasty. You must select a plastic surgeon for yourself as a patient that you respect and have faith in. The surgeon will then decide which strategy will work best for your unique situation. If you do what they did, you’ll probably be happy with how your rhinoplasty turns out.

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    The Seattle Rhinoplasty Center

    Seattle Nose Surgeon ®
    William Portuese MD
    Joseph Shvidler MD

    Seattle, Washington 98104

    (206) 624-6200

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