Open Rhinoplasty, Does Surgeon Know What Needs to Be Done Before Hand?

Hi. When a surgeon performs an open rhinoplasty does he know what he is going to do before he starts? Or does he need to have opened the nose to see what procedures are necessary for the desired outcome? Should the patient be informed in detail of what all took place during the procedure?

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11 Doctor Answers | Asked by Jennafire in Long Beach California

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Open rhinoplasty strategy

A good, accomplished plastic surgeon will have a plan before he/she opens the nose. Executing the plan is the goal. Like any plan, there are always things that require experience and an ability to react to adversity or the unexpected. In fact, the unexpected is expected. This is why you chose the best. Talmage Raine MD FACS drraine.com

Talmage J. Raine, MD

5 reviews

Chicago Plastic Surgeon

Surgeon's Plan for Rhinoplasty

Yes, the most important part of rhinoplasty is for the surgeon to know the diagnosis as well as the desires of the patient so the plan can be executed properly. During surgery, the surgeon is able to gain a more accurate understanding of the issues at hand and may need to make additional changes to achieve the best result. When the surgery is complete, the patient has the right to know what was done by the surgeon to try to fulfill all goals of the surgery. Jaime Perez,... more

Open Rhinoplasty, Does Surgeon Know What Needs to Be Done Before Hand?

IMHO Rhinoplasty Surgeons should have a well thought out technical plan as well as an aesthetic plan before beginning the Rhinoplasty. Part of the Rhinoplasty consultation is for the Rhinoplasty Surgeon to convey this information to the patient. If there are any questions as to what type of grafting material was used previously or whether or not one was used at all, these should be addressed during the consultation with the appropriate plans made jointly (surgeon and... more

Open rhinoplasty is best because of the unexpected.

I like the open rhinoplasty because occasionally, the unexpected is discovered and the operative plan of a closed rhinoplasty might not be proper. The patient is entitled to the operative note which discloses in detail what the surgeon did in the operation room.

Open Rhinoplasty, Does Surgeon Know What Needs to Be Done Before Hand?

External (open) rhinoplasty allows more predictable rhinoplasty results, in my opinion. The advantages lie in being able to directly see the cartilages that are being modified and the ability to easily place sutures to reshape the nasal tip. With that said, the surgical plan should be set before beginning either an external or endonasal rhinoplasty. If a plastic surgeon is expecting the external rhinoplasty view to give them inspiration for what maneuvers need to be performed, then the game... more

Rhinoplasty Surgery

Generally after a detailed examination of your nose (inside and outside), your surgeon will form a plan to achieve the results you seek before surgery. I generally have several thorough discussions with my patients with a clear plan for surgery before going to the operating room. Sometimes, particularly in revision rhinoplasty, modifications of the original plan to achieve the results that were discussed may be needed. Please consult with a board certified specialist who... more

Rhinoplasty

Before any rhinoplasty surgery the surgeon needs to perform a detailed examination of the nose, take appropriate nasal measurements and plan the surgical procedure before surgery. Opening the nose and deciding what today at that time lengthens the surgery time and makes the results of surgery less reliable. Once you inject the nose and open it everything is changed from its normal resting state so measurements and alignments during surgery may be off. After surgery it is the patients... more

Rhinoplasty

In general, a surgical plan is created before taking someone into the operating room. It does not mean that it may be modified during the surgery.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Planning for Open Rhinoplasty

If you surgeon does not know what he is going to do before an open rhinoplasty you need to find another surgeon. The main advantages of the open technique, which I have used for over 25 years, are that the surgeon has more control and the results are more predictable. After surgery the details of the operation should be given to the patient if desired.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

The Surgeon Should Plan The Rhinoplasty In Advance

Dear Jenna, An accomplished surgeon plans his/her surgery in advance based on thorough examinations and assessment of the patient. With that perspective, it is not uncommon that during the surgery some aspects of the procedure will be unveiled and dealt with accordingly. Furthermore, communicating with the patient is very important to be able to translate what the patient likes to accomplish surgically considering the variables from one patient to another. However, the main... more

Rhinoplasty

An experienced nasal surgeon will definitely know what needs to be done ahead if time. The surface anatomy combined with an intranasal exam should tell the surgeon exactly what is going on and there should be no surprises. The exception would be for a revision rhinoplasty. Some times, the surgeon won't know what needs to be done until he or she opens the nose to find out what was done previously.