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Are Incisions Under the Eyes Necessary During Some Rhinoplasty Procedures?

asked 1 year ago by Boston2696 in Boston, MA
Latest answer by William Portuese, MD
Question viewed 269 times
Tags: under eyes, incision

I am seriously considering rhinoplasty to rid my nose of a hump and to shorten it slightly as it is over projected. I live in Boston and have met with 2 surgeons so far. One is the chief of plastic surgery at a top hospital and has been practicing for 30+ years. He does about 50 rhinoplasties a year among other procedures. He told me that he would need to make a small incision under each eye for my open rhinoplasty procedure. Is this necessary? The younger surgeon did not mention doing this.

18 answers to Are Incisions Under the Eyes Necessary During Some Rhinoplasty Procedures?

Incisions under eyes NOT necessary for rhinoplasty

Incisions underneath the eyes for a rhinoplasty are totally unnecessary. Osteotomies are all performed through tiny incisions inside the nose underneath the sidewall of the bone. Look for a surgeon who can perform a primary rhinoplasty with the closed technique, not open rhinoplasty. A simple reduction rhinoplasty can easily be performed by closed rhinoplasty. This means that all the incisions are placed internally. Busy rhinoplasty surgeons today usually perform between two hundred and... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Osteotomy

Every surgeon has their preferences when come to break the bone to narrow the nose. There are more older surgeons use the external osteotomy. If you scar well and your surgeon is very good in all other aspects by all means go with them. Otherwise consult another surgeon. I personally had never needed to make an external incision for a close or open rhinoplasty.

Norman Ge, MD
Orange County Facial Plastic Surgeon

Incisions for Rhinoplasty Near the Eyes Are Used to Narrow the Nose

Hello, Boston friend. Was there recently for the major head and neck surgery convention. Loved the town. Fabulous history. Cute narrow streets. Great food. Now, getting back to business. Some surgeons do prefer to use tiny chisels, placed through short incisions placed between the side of the nose and the eye area to help crack the nasal bones to narrow them. This is done after the bump is removed. These fine instruments are only 2mm or 3mm wide. Therefore the... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

External Incisions for Rhinoplasty

There are many ways to correct nasal contour. The small incisions beneath your eyes I would guess would help the surgeon narrow the nose. Most surgeons use the internal incision present during rhinoplasty to narrow the nose. Some surgeons feel more comfortable with one technique versus the other. The small external incisions are just that VERY SMALL (2 mm) and heal extremely well. Both techniques are very acceptable. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

It is not necessary

It is not necessary to make incisions under the eyelids for a rhinoplasty. There are many other better methods to perform rhinoplasty, and if the incisions do not heal prefectly they are hard to correct. Best regards, Dr. Smith

Lane Smith, MD
Las Vegas Plastic Surgeon

Rhinoplasty incisions

It is not very common to perform rhinoplasties by making incisions under the eyes. Most likely these are small incisions that are being recommended but generally speaking are not necessary as most narrowing procedures are done through incisions inside the nose or along the columella or bottom of the nose. You might want to get a second or third opinion. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty Incisions

Hello Boston9626- Insightful question....the "incisions" you speak of are the access points for the surgical instrument used to make small perforations in the nasal bones (much like the holes on a stamp) allowing them to break. Breaking the nasal bones allows the surgeon to nasal the middle width of the nose. This can also be done through incisions or access points on the inside of the nose. I have used both approaches...individualized for each patient. External skin incisio more

John Philip Connors III, MD
Atlanta Plastic Surgeon

Incisions Under the Eyes Necessary During Some Rhinoplasty Procedures

Without photos very hard to answer. In some cases small, tiny incisions help with the surgery. These are very small and disappear in time. Seek more evaluations in Boston.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Nasal infracture techniques

The incisions that you are talking about may be small 2 mm puncture type incisions used to fracture the nasal bone. Most commonly a 2 mm osteotome or chisel is used to make a series of small punctures in the nasal bone. This will create an smooth infracturing of the bone to narrow the nasal base.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Incision under eyes not needed for rhinoplasty.

In 35 years of doing thousands of rhinoplasties, I have never had to make an incision under the eyes. You can fracture the bones from the inside without any problem. See another experienced rhinoplasty surgeon for another opinion.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

You need advice from an experienced guy like me

I believe he is talking about small incisions under your eyes through which he will perform the osteotomies ( break the bones). This is a technique that some older guys use -- it works well, the scars are almost invisible and it is a recognized technique. gotta teach the young docs a thing or two

William B. Rosenblatt, MD
New York Plastic Surgeon

Incisions under your eyes are not performed during Rhinoplasty Surgery.

You may have misunderstood what your surgeon told you. The most common external incision used during rhinoplasty surgery is on your columella at the base of your nose. Incisions under your eyes are not performed. I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Incision under eyes for Rhinopalsty

Hi, You may have misunderstood where the incision will be placed. A closed rhinoplasty involves incisions on the inside of the nostrils whereas an open rhinolasty involves incisions inside the nostrils and on the collumella. In either case, the incisions heal well if performed properly. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Nasal incisions for rhinoplasty

You may be talking about performing external osteotomies. I do them all the time, and they are tiny puncutre wounds to perform the nasal bone infractures. I have never had a patient complain or even notice them after surgery.

Steven Wallach, MD
Manhattan Plastic Surgeon

For Rhinoplasty, there are a number of incisions used, I prefer all of them hidden inside the nose

For Primary rhinoplasty, I prefer the intra-nasal (or closed) approach. for over 90% of my rhinoplasties. This means no incisions at all on the outside of the nose. Some very respected surgeons use an external incision on the bottom of the nose for an open approach and others even use a tiny "stab" incision under the eye in a natural crease perform osteotomies (breaking of the nasal bones). Personally, I make these osteotomy cuts inside the nose as well.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Incision under the Eyes for Rhinoplasty

I do not make incisions under the eyes for rhinoplasty surgery. I believe that he would be making the incisions to perform osteotomies, and I don't feel the this is necessary. One can do the osteotomies via the internal incisions, or via small incisions on the side of the nose. I would suggest going with the surgeon that you feel more comfortable with.

Wilfred Brown, MD
Fairfield Plastic Surgeon

No

The incisions he is talking about are for Osteotomies to break the bones after hump removal. It is not necessary. Doing the osteotomies from inside your nose is a much more elegant way. When I was 14 years old I too met the chief of plastics at one of the Harvard hospitals in Boston and he said the same thing. Im glad I waited another 16 years and finally did my Rhinoplasty with an expert who does about 150 Rhinoplasties a year. Anyone doing less than 100 noses... more

Shervin Naderi, MD
Washington DC Facial Plastic Surgeon

Incisions under the eyes for a Rhinoplasty

Dear Boston, I can't say I have ever used incisions under the eyes for a rhinoplasty. If you are having an open rhinoplasty there is an incision on the columella and inside the nose. If you are having the nostrils made smaller then there would be incisions at the base of the nose, but I have never heard of incisions under the eyes for a rhinoplasty. Check to make sure you heard correctly and if you did, go on another consultation to a plastic surgeon who does both open... more