Open Vs. Closed Rhinoplasty

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Open Vs. Closed Rhinoplasty  – Are you interested in a nose job procedure, but aren’t sure what type will be best for you? Dr. Ali, a Michigan plastic surgeon. explains the type of procedures you may hear about at a consultation.
“Open and closed rhinoplasty procedures are two ways plastic surgeons reshape the nose,” says Dr. Ali. “Which one your surgeon uses will depend on the current shape of your nose, as well as the preference of your surgeon. Both types of surgery have advantages and disadvantages to them, so it is important you ask your surgeon which he or she is most comfortable with, and which is recommended for you.”
A closed rhinoplasty, also known as an endonasal rhinoplasty, leaves all of the incisions inside the nostrils. This is an advantage for the patient as no visible scars will be seen. However, there are some challenges to this type of procedure. The incisions in each nostril are disconnected, which can make it harder for the nasal skin to be repositioned.
Additionally, the incisions are very small, reducing visibility for the surgeon. This can make the surgery more difficult in complex nose jobs, such as changing the shape or position of the tip of the nose. However, this can be a great technique for bridge augmentation or minor refinements of the bridge. This procedure can also be used in correcting deviated septums, as long as there aren’t major cosmetic changes needed, as well.
An open rhinoplasty is also referred to as an external rhinoplasty. There are a few hidden, internal incisions, as well as an incision along the columella, the skin that attaches the right and left nostrils. This incision adds much greater visibility for the surgeon because it allows for the skin to be lifted back, allowing the surgeon better access to the structures of the nose.
An open procedure also allows for the cartilage of the nose to be less distorted during surgery, allowing the surgeon to see all aspects of the nasal cavity in a more undisturbed manner.
“While many patients may come to a consultation with a closed rhinoplasty in mind, it’s important to remember that the scar an open procedure will leave is tiny,” says Dr. Ali. “While I perform closed rhinoplasty procedures, it is hard to deny that better accuracy can come from an open procedure. The results would far outweigh a tiny scar. Open rhinoplasty has transformed how we are able to reshape noses, giving plastic surgeons better control and precision in treating more complex cases.”
When performed by a skilled and well-trained surgeon, an open rhinoplasty scar will heal excellently, making it practically invisible to the naked eye. Two layers of incisions will ensure the incision will close properly, allowing for healing that will make the incisions almost imperceptible to friends.
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Bloomfield Hills Plastic Surgeon