Open VS Closed Rhinoplasty – Key differences you need to know

Rhinoplasty

When you know … you just know! Be it for aesthetic purposes or functional correction for your nose, Rhinoplasty has options available. This procedure, commonly known as a nose job, has two approaches to offer: Open and Closed. Knowing the difference between these two techniques is important before you proceed with the transformative procedure. Let us take you through the key differences, their respective advantages and disadvantages as well as what you need to consider to make an informed decision.

Closed Rhinoplasty demystified for you

Also known as endonasal rhinoplasty, this technique entails the surgical incisions made inside the nostrils. The surgeon then works through these incisions to reshape either bone or cartilage. 

The very nature of these incisions ensures that there are no visible scars on the outside of the nose. Since the working area is restricted, this technique is used for less complex cases, where there are no major structural changes required.

Advantages:

  • No visible external scarring as the incisions are made inside the nostrils.
  • Lower recovery time and less swelling since this technique involves far less tissue disruption.
  • Short duration surgery

Disadvantages:

  • Limited access to the nasal structure also means limited visibility, therefore making complex adjustments that much more difficult.
  • Relatively less precision due to the limitations of working space.
  • Limits the number of procedures that can be done through this technique due to limited access.

Understanding Open Rhinoplasty

External Rhinoplasty, or Open Rhinoplasty, is the procedure where a small incision is first made on the columella (the tissue between the nostrils) And then  then combined with internal cuts inside the nostrils.  This allows the surgeon to lift the skin off the nose tip providing better visibility and access to the nasal structure below. This technique can be used  for simple as well as  complex cases that may require major structural changes. 

Advantages:

  • It allows for better visibility of the surgical area, thereby allowing for precise adjustments and control.
  • Ideal for complex rhinoplasty cases where major structural changes need to be addressed, including revision rhinoplasty where earlier results need correction.
  • The ability to view and manipulate the nasal structure in their entirity allows for improved accuracy in the outcome.

Disadvantages:

  • There is a risk of minimal visible scarring which gradually fades.
  • Since Open Rhinoplasty entails more swelling due to surrounding tissue trauma, it involves a longer recovery time than the closed procedure.
  • Open Rhinoplasty takes longer to perform given the complex nature of the procedure and transformations undertaken.

Closed or Open Rhinoplasty – How do you decide?

No matter your ultimate decision on this matter, do ensure you have taken an informed decision under the guidance of a qualified and experienced plastic surgeon who will evaluate your specific requirements and help plan the best approach. 

Following are some quick reckoners to keep in mind:

In Conclusion

It is always wise to make informed judgement calls on the type of procedure you wish to undergo for your Rhinoplasty – Open or Closed, under the expert guidance of a qualified and experienced plastic surgeon. Discuss your expectations, concerns and goals with your surgeon; this will go a long way in determining the surgical approach to be taken. 

At NoseContour, Hyderabad, we ensure our services include a thorough assessment of goals and expectations, even as we mitigate the concerns you may have well before you finally undergo the procedure. After all, patient satisfaction is as important to us as our positive track record.

Profile photo of Dr Venkata Ramana

Dr. Venkata Ramana

MS, DNB, M.Ch

Dr. Venkata Ramana, MS, DNB, M.Ch, is a board certified Plastic and Cosmetic Surgeon of great repute in Hyderabad. Over the past 15 years of innumerable nasal transformations, Dr. Ramana has created his niche in the field of Rhinoplasty Surgery in Hyderabad, where his gold medal winning background in ENT goes a long way in ensuring that the problem is dealt with in the best possible light. His attention to detail in the realm of deformities such as low nasal bridge, hump nose deformity, wide nasal pyramid, bulky nose tip, wide nostrils and crooked or deviated nasal structure amongst others has earned him the trust of patients and ensured phenomenal end results. Dr. Ramana holds the unique distinction of aesthetic as well as functional prowess of rhinoplasty surgery. To book an appointment, call +918790049911 or email: contact@nosecontour.com
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