Rhinoplasty is a surgical procedure to reshape the nose. It can make the nose larger or smaller, change the angle of the nose in relation to the upper lip, alter the tip of the nose, or correct bumps, indentations, or other defects in the nose.
During rhinoplasty, incisions is made to access the bones and cartilage that support the nose. The incisions are usually made inside the nose so that they are invisible after the surgery. This technique is known as closed rhinoplasty. Depending on the desired result, some bone and cartilage may be removed, tissue or implant may be added (either from another part of the body or using a synthetic filler). After rearranging and reshaping the bone and cartilage, the skin and tissue is redraped over the structure of the nose. A splint is placed outside the nose to support the new shape of the nose as it heals.
Closed Rhinoplasty refers to a nose job that is performed via internal incisions - i.e., there are no external scars. The surgeon makes one or more incisions along the inside of the nose and lifts the skin up from the nasal framework. Once the skin is elevated, the shape of the nose is changed.
• Potentially shorter operative time
• Less swelling of the tip
• No external scar
A closed rhinoplasty is where only the cuts inside the nose are made. This was originally developed to be used to fix broken noses, where more refined work on the tip is not usually carried out. If you think your tip is absolutely fine, the closed approach might be right for you.
A closed rhinoplasty is usually for minor reshaping.
Open Rhinoplasty, on the other hand, uses the same incisions as a closed rhinoplasty with the addition of an incision on the undersurface of the column of tissue that separates the nostrils called the columella. While this places a small scar on the exterior of the nose, in most cases, the incision heals very well and is not noticable at conversational distances. The incisions for the closed rhinoplasty are completely identical to the open with the exception of the incision across the columella.
• Better visualization for the surgeon
• Direct exposure of the anatomic structures
• More precise intraoperative diagnosis
• Less distortion of the nasal framework from intraoperative retraction
• Ideal for complex nasal deformities
This 6 mm incision allows the surgeon to peel the skin of the lower nose back to fully visualize the tip and dorsum of the nose. In the closed procedure, there is not as much visualization since the skin is not peeled back.
This approach is used for any rhinoplasty that needs extensive tip or dorsal work.
Open rhinoplasty is good for a second or third revision whereby extensive scar tissue and cartilage grafting techniques are necessary, and external exposure is needed. A simple primary reduction rhinoplasty is best done closed. Our plastic surgeon will assess the structure of your nose and profile of your face before he can decide if a closed or open rhinoplasty is suitable for you. Most patients undergone closed rhinoplasty with us.