During the closed rhinoplasty procedure, a surgeon makes several incisions inside the nostrils, without getting outside the nose. Using the open rhinoplasty technique, a surgeon makes an additional incision on the columella (an area outside the nose between the nostrils) and certain incisions inside the nose, just like during the closed technique. Then, a plastic surgeon lifts the nasal skin carefully back in order to be able to work on the cartilage and other tissues inside the nose. Open rhinoplasty is used mainly in more complicated cases.
Open and closed rhinoplasty advantages
The main advantage of the closed rhinoplasty technique is no visible scarring after surgery. Since incisions are made inside the nose, they are totally invisible after nose job.
As an additional incision on the columella is made during the open nose surgery procedure, it leaves with a noticeable scar. This scarring is not very visible, and decreases with time but still, open rhinoplasty is not totally without scars
The main advantage of the open rhinoplasty technique is that it offers a surgeon to see the inner cartilage network properly and work on the inner structures more precisely and freely. Therefore open nose job surgery is chosen in more complicated cases, when more work needs to done by a doctor in order to achieve a desired result. This is especially favored by surgeons, who need to perform ethnic rhinoplasty surgery.
Since closed nose job surgery is used in order to improve minor defects of the nose, it lasts shorter than the open technique. Usually, closed rhinoplasty may take from one to two hours, whereas open rhinoplasty may last up to four hours.
Many surgeons prefer closed nose job surgery because it allows a shorter recovery period afterwards. Also, swelling and bruising is smaller and lasts shorter when the closed rhinoplasty technique is used.
Open and closed rhinoplasty disadvantages
The only disadvantage of the closed rhinoplasty technique is that it has limited use, and it cannot be applied to everyone. The best candidates for this procedure are those in need for minor modifications in the appearance of the nose. During closed nose surgery a small hump can be corrected but all other characteristics of the nose should be close to perfect. A patient should have a symmetrical shape of the tip of the nose. In addition his/her nose should be not too long and not crooked. The patient should not require a complicated surgical procedure for improvement of other nose features.
The open rhinoplasty technique has a few more disadvantages as compared to the closed one. It may leave the patient with the scar on the columella. There is also a greater risk for necrosis of the operated columella. In addition, the patient may experience extensive swelling, bruising, and numbness of the treated area.
If you want to have nose job surgery in order to improve your facial appearance or solve breathing problems, you should consult a qualified plastic surgeon. After discussing your problem and desired results of this cosmetic procedure, your doctor and you can decide which technique is most suitable in your case. Even though both techniques have certain advantages and disadvantages, they are both used widely in specific cases. Of course, a closed rhinoplasty technique requires a lot more skills but every qualified plastic surgeon can perform it. You only need to find one, who has the greatest experience in nose jobs.
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