Nose reshaping surgery are often divided into two sorts of procedures; open (external) rhinoplasty and closed (internal) rhinoplasty.
Briefly, the term open rhinoplasty describes the surgical technique by which an external incision is formed within the area between the 2 nostrils. during a closed rhinoplasty all incisions are made within the nasal structure.
It’s a matter of the surgeon’s preference and knowledge on which technique he or she uses for a given case.
In an open rhinoplasty the horizontal incision allows for the skin to be lifted to more easily view and gain access to the nose tip cartilage. The plus side of open (external) rhinoplasty is that the increased access to certain nasal structures. On the minus side is that the small external incision and potential of sunshine scarring.
A closed rhinoplasty is completed entirely within the nose with no external incisions. This procedure takes more technical facility and dexterity than the open procedure.
Both the open and closed procedures are employed by plastic surgeons for many years .
With an open rhinoplasty the surgeon can directly view the cartilage and other structure within the nose more easily than with a closed approach. He or she will also more easily make changes with more control and precision. Some changes can, in fact, only be completed using the open rhinoplasty procedure.
Open rhinoplasty is typically chosen for more complex procedures like severely deviated nasal structure, and more complicated nasal deformities like cleft-lip rhinoplasty.
Other more routine procedures during which cosmetic surgeons may choose open rhinoplasty are treating a bulbous tip, droopy, pinched or projected tip.
Closed rhinoplasty is typically chosen for smaller changes which may be avoided the direct access and viewing provided by the incision on the surface of the nose.
In a closed rhinoplasty, also called an endonasal rhinoplasty, all the incisions are made within the nose. the whole operation is performed through narrow openings made within the nostrils. The cosmetic surgeon confronts considerable challenges and a few technical limitations caused by the lessened surgical access. this is often very true of more complex rhinoplasty procedures.
Closed rhinoplasty has the benefits of less time in surgery, less swelling and quicker healing. there’s also no scar on the surface of the nose. The disadvantages are the shortage of access to structure offered by the open rhinoplasty approach and therefore the lessened direct visibility.
If your surgeon elects to use an open rhinoplasty [rinoplastia] procedure and you’re concerned about the likelihood of scarring, ask to ascertain before and after pictures.
The most important consideration when deciding whether to use an open or closed rhinoplasty is that the comfort and knowledge of the surgeon. As a patient you want to choose a cosmetic surgeon you respect and in whom you’ve got confidence. The surgeon will then choose the foremost appropriate way of approaching your particular situation. Follow their lead and you’ll most like be proud of the results of your rhinoplasty procedure.