Rhinoplasty: Q&A
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What's the Disadvantage of Open Rhinoplasty?
I had closed rhino and many of my friends had theis open. Why. Wat is the disadvantage.
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11 Doctor Answers |
Asked by
amandasmith
in Bellflower, CA
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Small Disadvantages of Open Rhinoplasty
As a board certified plastic surgeon and board certified ENT I find the benefits of the open rhinoplasty out weigh the disadvantages. The disadvantages are a small scar, which generally becomes imperceptible and a small amount of swelling and numbness in the columella which also goes away. Patients generally feel these small disadvantages are acceptable.
Dallas Plastic Surgeon
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Open vs.Closed
The advantages of the open technique far outweigh the disadvantages. The disadvantages are as follows:
Small incision between nostrils (which typically heals well)
More tips swelling
More tip numbness
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Disadvantages of open rhinoplasty.
Open rhinoplasty has 2 major disadvantages when compared to the closed approach: 1) the presence of a small scar across the columella and 2) more prolonged swelling and firmness of the nasal tip. The columellar scar will eventually heal and be essentially invisible if done properly and the tip swelling and firmness will eventually subside. The advantages of open rhinoplasty, however, far outweigh these disadvantages and provide for a better chance of a 'home-run'...
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Open rhinoplasty disadvantages
Open rhinoplasty definitely results in more swelling and of course a small external scar. However, the external scar heals so well in the majority of cases that after a few weeks, it is almost imperceptible, In addition, the access obtained by doing it open gives amazing access to allow for precision that in my opinion can not be achieved in most closed rhinoplasties.
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Open rhinoplasty has some disadvantages
Two disadvantages from an open rhinoplasty are increased tip stiffness and swelling, and of course the external scar. We perform open and closed rhinoplasty as most experienced rhinoplasty surgeons do. One is not better, but the approach is determined by the individual need.
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What's the Disadvantage of Open Rhinoplasty?
The reason to perform an Open Rhinoplasty IMHo depends on some compelling factor in the nasal tip...
prior tip surgery that's now asymmetric
very wide tip that's under rotated
lost tip support that requires a cartilage shield graft that should IMO be sutured or glued into posiition.
For over 22 years these are the reasons that I use open versus closed Rhinoplasty but every Rhinoplasty Surgeon has his or her own reasons.
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The main DISadvantage of external or "open" rhinoplasty is swelling. This is fortunately temporary.
The main DISadvantage of external or "open" rhinoplasty is swelling. This is fortunately temporary. As my colleagues have already mentioned, the incision if properly placed and sutured closed is not typically noticeable beyond a couple of weeks.
Swelling, on the other hand, is typically more pronounced than with the endonasal or "closed" technique. Careful surgical technique and taping of the nose after surgery can help but most patients will notice swelling. The majority of this...
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Open rhinoplasty scar.
There are surgeons who say that the open leaves a noticeable scar--this is not correct. The scar is the easiest part of the procedure. As one of 4 pioneers of the open technique 37 years ago, I was routinely told you could get the same result closed. Some noses can be done closed with excellent results and others need the open technique. The main disadvantage of open rhinoplasty is that the lower third of the nose stays swollen slightly longer, but not noticeable>
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A Scar
Closed rhino there is no scar on the columella, open there is ofter a visible scar ( although proponents of open say the scar is invisible). I have 35 years of experience doing rhinoplasties and about 95% are done closed with no scars on the columella. The younger plastic surgeons are taught to do it open.
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Open rhinoplasty
In experienced hands, both open and closed rhinoplasty give a surgeon options to achieve the desired outcome. An open rhinoplasty will leave a scar in the columella, which is usually imperceptible when healed. Also, an open rhinoplasty may have a slightly longer time of tip swelling.
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Open vs Closed Rhinoplasty
The main difference between a closed and open rhinoplasty is a visible scar on the collumella. The anatomic components should be addressed by any technique. I perform both types and in my experience there are certain situations where one technique is preferable but in the majority of cases it is the experience of the surgeon which is the absolute key determinant of the final result.
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