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Will I Have Visible Scars from a Nose Job?
asked 4 years ago by anon
Latest answer by Barry L. Eppley, MD, DMD
Question viewed 1,872 times
Tags: scar
33 answers to Will I Have Visible Scars from a Nose Job?
+1
Visible Scars after Rhinoplasty
With a closed rhinoplasty, all incisions are made wthin the nose. Many surgeons,including myself, feel there is a distinct advantage to the open, or external approach, in certain certain noses such as revision rhinoplasties because in their hands there is improved exposure of the anatomy and the results are more predictable. With this technique the skin incision made between the nostrils heals very well; in 35 years, I've revised this incision twice.
+2
Scars should not be an issue after rhinoplasty
In closed, or endonasal, rhinoplasty all the incisions are typically made inside the nostrils. No external incisions are made whatsoever, with the uncommon exception of surgeries which include nostril-narrowing procedures such as the Weir excision or sill excision.
In open rhinoplasty, a tiny incision is made across the columella, typically in the shape of an upside-down "V" or a stairstep. If this incision is created and repaired carefully, the resultant scar should...
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+2
Hidden Incisions
Rhinoplasty can be done with no visible scars by placing all incisions inside the nose.
This is called "Closed" Rhinoplasty.
Ask your surgeon if you are a good candidate.
+2
Visible Scars After A Rhinoplasty
Anytime a scar is created, it will leave a mark. An experienced and well trained rhinoplasty surgeon will do a variety of maneuvers to make the scar less visible.
Typically, in an open rhinoplasty, there is an incision between the nostrils in the columella. Scarring around the nostril area (termed the alar base) can also leave scars which can become visible. This incision will usually heal well depending on a variety of factors including:
Surgeon...
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Anil R. Shah, MD
Chicago Facial Plastic Surgeon
Chicago Facial Plastic Surgeon
+2
Rhinoplasty and scars
There are two types of rhinoplasties: open and closed. In an open approach, there is small incision made on the columella, which is the part of the nose between the nostrils. This heals very well and is virtually undetectable in most cases. A closed rhinoplasty involves no external incisions, with all the incisions located inside the nostrils. The open approach allows for better exposure especially if more intricate work is to be done on the nasal tip or a paient requires a revision.
Please...
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+2
Rhinoplasty Scars
Scars are scars and are premanent....That having been said, in the hands of an experienced rhinoplasty surgeon, whether OPEN or CLOSED, these scars should melt away and be virtually impossible to detect.
This is a great operation for the right patient in the right hands....search carefully, solicit many professional opinions and I am sure you will be very happy!
Good Luck
Dr. C
John Philip Connors III, MD
Atlanta Plastic Surgeon
Atlanta Plastic Surgeon
+2
Most rhinoplasties (nose jobs) can be done with either no incision or a very small incision
There are two ways to approach the nose when performing a rhinoplasty (nose job). The first is the closed rhinoplasty. In this surgery, the surgeon approaches the anatomy through the inside of the nostrils. There are incisions, but they are all inside of your nose (kind of like doing the surgery from the inside-out). This apprach is best for straight-forward noses which do not need extensive work. The other approach is called the open rhinoplasty. In this apporach, a small incision in...
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+1
Rhinoplasty Is A Scarless Procedure
`For the most part, rhinoplasty does not involve any visible scars and that concern is not usually an important one. It is true that in an open rhinoplasty an incision is used across the strip of skin between the nostrils. (columella) But incision almost always heals so well that a resulting visible scar or the need for scar revision of it is very uncommon.
+1
Rhinoplasty Incisions Usually Hidden Inside the Nose
There are basically two approaches to accessing the nasal structures when performing a rhinoplasty. One is called "closed" and the other "open". Truth is, they are both open, the question is where the opening is made. In a "closed" approach, all of the incisions are inside of the nose leaving the patient with no visible scars. In contrast, the "open" approach includes an incision across the skin between the nostrils...
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+1
Rhinoplasty Scars
Rhinoplasty can be performed by the 'closed' technique, in which all incisions are placed within the nostril, or the 'open' approach, in which an incision is also placed on the columella, the skin between the nostrils. This incision is external but heals extremely well and is almost imperceptible. Occasionally, osteotomies to cut the bones and narrow the nose are performed through external incisions on the side of the nose. These are 2 mm and also heal...
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Jeffrey Weinzweig, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
The technique determines the placement of incisions
If the surgeon needs to make a small incision under your nose you will have a small scar. This scar is usually not too visible. If the surgeon uses a technique where all incisions are placed in the nose, no external scar will be visible. Which technique used depends on the type of changes needed.
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Are scars visible after Rhinoplasty?
Sometimes Rhinoplasty is done using a small incision under the nose. It heals leaving an almost invisible line. Less commonly 2mm incisions are made at the side of the nasal bridge to help narrow it. These too heal very well.
+1
Avoiding scars in rhinoplasty
There are two primary access approaches in rhinoplasty. The so called "closed" method where all the incisions are on the inside of the nose, therefore no visible scar; and "open " approach where there is an incision across the columella. This incision typically heals well, but on occasion in can leave somewhat noticeable scar. In my practice I perform primarily closed/endonasal rhinoplasty. I believe this approach allows for a more finessed...
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Rhinoplasty / Nose job incision scar
Essentially not. Even with the external approach, this incision typically heals as a fine line scar.
+1
The "Closed Approach"
For many years, the traditional approach to nasal surgery has involved only internal nasal incisions. This type of approach is considered an “endonasal” or “closed” approach. This is still the most commonly used technique, so that visible scars from nasal surgery are uncommon. Occasionally, an “open” approach is more appropriate- for complicated refinements of the nasal tip, post traumatic nasal surgery, or revision nasal surgery. This involves a very...
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+1
Rhinoplasty can be performed with imperceptible scars
Rhinoplasty can be performed with imperceptible scars. If one uses an endonasal/closed approach, then all the scars will be on the inside of the nose unless the nostrils require reduction. An open approach uses a small external incision on the underside of the nose in addition to internal incisions, however, if performed well, the scar is imperceptible in most cases.
Sanjay Grover MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+1
Scarring after a rhinoplasty
Rhinoplasty is a popular and effective surgery to recontour the shape of your nose. Today, there are two main techniques for rhinoplasty surgery: the open technique and the closed technique. The open technique is when the surgeon lift the skin off your nose to work on the deeper structures. This will produce a scar on the inner surface of your nostrils that is not possible to see from the outside. You also have a small scar in the columella which is the portion of your nose between your two...
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B. Pat Pazmino, MD
Miami Plastic Surgeon
Miami Plastic Surgeon
+1
Nose job Scarring
If you undergo a 'closed' rhinoplasty procedure, there should be no visible scarring since all of the incisions are made inside of the nose.
With an 'open' rhinoplasty approach, I will make an inverted V shaped incision between the nostrils to access the tip and bridge. This scar typically heals very nicely without any obvious signs of having an incision. Initially, the scar may look slightly raised off the surface of the skin (what we call everted). This is done intentionally to account for...
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+1
Rhinoplasty scar
There are two types of incisions for rhinoplasties: open and closed. In an open approach, there is small incision made on the columella, which is the part of the nose between the nostrils.
This heals very well and thus is virtually undetectable in most cases. A closed rhinoplasty involves no external incisions, with all the incisions located inside the nostrils. The open approach allows for better exposure especially if more intricate work is to be done on the nasal tip.
Best wishes.
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+1
Does rhinoplasty leave a visible scar?
A well performed rhinoplasty should not leave a visible scar. Even though, an open approach to the rhinoplasty requires an incision in the columella skin (between the nostrils), the scar is typically not visible. The same can be said about narrowing of the nostrils.
Please view the photographs in this link to see the results of surgery where the columella and the nostrils were cut.
Maurice M. Khosh, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+1
Nasal scars after rhinoplasty
Most nose surgery is done with the incisions inside.
When a patient needs an open approach, the incision is done on the columella (the area between the nostrils). This incision usually fades over a period of a few weeks.
If the nostrils need to be narrowed another incision may be done on the side of the nostril and inside the nostrils. These usually fade as well.
Carlos Wolf, MD
Miami Facial Plastic Surgeon
Miami Facial Plastic Surgeon
+1
At most, a few millimeter scar between the nostrils
External or open rhinoplasty will require placement of an incision between the nostrils. But because that skin is so thin and deilcate, if sutured carefully, the scar should heal to the point it is nearly invisible within a few months. With closed or endonasal rhinoplasty there is no visible scars.
David W. Kim, MD
Bay Area Facial Plastic Surgeon
Bay Area Facial Plastic Surgeon
+1
Rhinoplasty scars
Rhinoplasty can be performed with two approaches. One is the endonasal or "closed " approach, where all of the incisions are hidden inside the nose. The other approach is the "open" approach, where there is a small hidden incision in the columella. This incision heals very well and should not be a concern.
One approach is not better than the other. The best approach for you is the one your surgeon is most comfortable with so that you may have the best result possible in...
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+1
There should be no visible scars from a nose job
There should be no visible scars from a nose job, because the all incisions should be made on the inside of the nose. I strongly advise that you avoid doctors who do open rhinoplasties, becasue making an external cut is positively unnecessary and always leaves some type of a scar. I also believe that inferioor results are acheived when an open rhinoplasty is performed. For an experienced plastic surgeon, all the nasal structures can be visualized and operated upon completely and accurately...
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Howard T. Bellin, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
Open vs closed rhinoplasty pearls
Most tip work is done with the open Rhinoplasty technique and most noses that require only bridge work are done with the closed technique. These are just guidelines and not absolutes but your surgeon will have his preferences and should discuss them with you.
Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
Almost undetectable scar with open approach
There are two approaches to rhinoplasties: the open and closed approach. The open approach does require a small incision in your columella, but when performed well leaves a scar that is almost invisible. For many rhinoplasty goals, most surgeons will use the open approach. There are some cases (such as isolated dorsal hump, simple crooked nose) that can be treated well with the closed approach. There are also some surgeons that will do many rhinoplasties through the closed approach.
In...
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Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
San Francisco Facial Plastic Surgeon
+1
For most patients, there is no need for visible scar on the nose
Our most common approach to re-shaping the nose is through what is called a "closed" rhinoplasty approach. This implies that incisions to gain access to the nose are on the inside of the nose, and although there are scars, they are not generally visible to the patient or the public.
In some instances, where we are revising a previous rhinoplasty, or where a great deal of work is required on the nasal tip, we use an "open" Rhinoplasty approach, which adds a small...
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The end justifies the means when it comes to Rhinoplasty scarring
There are two surgical maneuvers in Rhinoplasty or Nasal Cosmetic Surgery that result in a potentially visible scar on the surface of the nose. First and most common is the technique of Open Rhinoplasty. Here the surgeon makes an incision in the columellar, the structure dividing the nostrils. Working through this cut the surgeon peels the skin off the underlying cartilages of the tip. This approach provides excellent visualization for sculpting these cartilages to achieve tip refinement....
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David A. Ross, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Scars after Rhinoplasty
There are two types of rhinoplasty: closed and open.
In the closed technique, which is the traditional method, all the incisions are made inside the nose, unless your nasal ala (nostrils) are too wide. In that case, an incision is made to remove the excess nostril and make your nostrils narrower. This is typically done in African-American noses.
The open technique, which is the most common method used today, uses the same incisions as the traditional method. In addition, there is an...
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Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon
Santa Ana Plastic Surgeon
+1
Rhinoplasty Scars
Rhinoplasty techniques have been perfected for decades in order to minimize scarring and improve a natural nasal contour. An open rhinoplasty places an additional external scar on the nose but the scar usually fades within weeks.
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Usually no visible scars for a rhinoplasty
Rhinoplasties are usually done with an "open" or "closed' technique. The difference is where the incisions are made. With the closed technique, all incisions are hidden inside the nose.
With an open approach, there is an incision on the bottom portion of the nose, but it usually heals exceptionally well and therefore is almost invisible.
Some patients are better treated with one approach vs. the other, depending on what is needed to be done at surgery.
Talk to your doctor...
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Dean Fardo, MD
Atlanta Plastic Surgeon
Atlanta Plastic Surgeon
+1
Scars After Rhinoplasty
There are two basic surgical approaches to rhinoplasty -- open versus closed. The open technique involves peeling most of the skin off the top of the nose. This allows excellent exposure of all the bone and cartilage for surgical correction. It requires, however, a small incision across the columella -- the small skin strut between the right and left nostrils. The open rhinoplasty is the best approach for complicated nose operations, for revisions of previous surgery, and for congenital...
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+1
Rhinoplasty: Open versus Closed Approaches and Scarring
There are two approaches to rhinoplasty: open rhinoplasty and closed rhinoplasty. In closed rhinoplasty, all the incisision are placed on the inside of the nose and no external scars are visible. Open rhinoplasty uses the same incisions as closed rhinoplasty with the addition of a small incision across the undersurface of narrowest portion of the column of tissue between your nostrils. With time, this scar is virtually unrecognizable at conversational distances.
Alar base reductions...
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