During Closed Approach, Will the Scar Tissue Just Develop in the Vestibular Skin?

asked 6 months ago by Ameliabeau in Bakersfield
Latest answer by William Portuese, MD
Question viewed 123 times
Tags: scar tissue

With a closed apporach, an incision is only made inside the nostril underneath the cartilage. After closing this incision, will scar tissue develop only in this vestibular skin or also in the skin overlying the lower lateral cartilage?

9 answers to During Closed Approach, Will the Scar Tissue Just Develop in the Vestibular Skin?

Scar Tissue Formation with Closed Rhinoplasty

With rhinoplasty surgery scar tissue can form anyplace the nasal tissues are interrupted or elevated. The only additional incision with the open technique is the small incision in the columellar skin. Swelling may be a little more severe with the open technique.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Scarring after Rhinoplasty

You are correct. When using the “closed” endonasal approach, the external incisions are placed along the mucosal surfaces inside of the nose. Consequently, any visible external scars are also located inside the nose. The various steps performed during rhinoplasty, dissection of muscles, soft tissue elevation, cartilage recontouring will also all lead to development of scar tissue. This internal scar tissue can lead to irregularities which can sometimes... more

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon

Scar tissue after closed rhinoplasty

The incisions for the closed approach are the same as an open approach with the only exception being the columellar incision. With the closed approach there is still undermining of the entire nasal framework just like in the open rhinoplasty. Scar tissue will develop underneath the entire nasal cartilage and bone where it was undermined.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Do not worry about scar tissue with closed rhinoplasty.

Hi Ameliabeau; Closed rhinoplasty implies that all the incisions are made within the nose. Actual scarring, like a keloid or thick scar, does not exist inside the nose. Often, what is called "scarring" is actually over-tightening of the cartilage and, therefore, the internal nasal valve becomes narrow. But, that is not because of scar tissue, per se. It is generally because too much cartilage was taken out, and the remaining cartilage is drawn together,... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Scar from Rhinoplasty

With a closed approace, the scar from a closed rhinoplasty will be only in the vestibular skin inside the nose

Richard Galitz, MD
Miami Facial Plastic Surgeon

Scar only in the vestibule?

If you are referring to the idea of scar tissue affecting the rhinoplasty result this concept does not necessarily apply to the incision. The rhinoplasty procedure involves separating the skin from the underlying cartilage and bone to reshape it and then having the skin conform to the new shape. It is this skin lifting and dissection that creates the potential for "scar tissue" to affect the result, not the incision itself. Having said that, the use of endonasal incisions only can... more

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Rhinoplasty

Everything else being equal the actual amount of scar formation is not that different between open and closed rhinoplasty. Although the opening in the external surface tissue is slightly different all of the dissection or separation of tissue layers deep to the surface is the same. Most of the scar tissue that arises is formed in these areas of tissue plane separation. The same applies to breast implants where most of the scar is really around the implant. I hope you realize that... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Scar

By defination all cuts heal with scar tissue. Some are better than others. Dropping down of the incision requiring repair can happen. Otherwise the closed approach is almost aleays scat invisable