If you’re considering a surgical change to your nose, it’s important to learn what rhinoplasty can and cannot do for you. It helps to understand what the surgery itself involves. There are two types of nose surgery, referred to as open or closed procedures. There is just one difference between the two, but it can make a significant difference in your results.
In any rhinoplasty, your surgeon will make multiple tiny incisions inside your nose. Exactly how many and where depends on the specifics of your procedure. That’s true whether the goal is cosmetic changes or correction of functional defects, or both. In a closed rhinoplasty, all incisions are made on the interior. This is the older, traditional technique. There is no risk of visible scarring, because there are no external incisions.
For an open rhinoplasty, your surgeon will also make a tiny incision on the outside of your nose – across the columella, which is the soft tissue that separates your nostrils. In the hands of a skilled, experienced surgeon, it’s not likely anyone will ever notice a scar.
Closed rhinoplasty offers a few advantages
A closed procedure can be completed faster than open surgery, because there is no time spent making the extra incision or lifting and then replacing the skin. Patients may experience less swelling, and recovery time may be shorter, too. Some surgeons still use the closed technique, but here at Raval Facial Aesthetics we prefer the more advanced open approach.
Open rhinoplasty gives your surgeon complete control
By making the exterior incision and carefully lifting the skin, Dr. Raval can see directly as he works, rather than relying on tools to visualize the details of the procedure. In addition, he has far greater ability to precisely manipulate tissue and cartilage as needed.
And that’s the big difference between open and closed rhinoplasty – that ability to actually see what needs to be done and precisely control every tiny movement. With a closed procedure, the surgeon cannot directly see the operative area.
Talk to your doctor
Every nose surgery is different, depending on each patient’s aesthetic concerns and desires, skin, medical history, and other factors. Some procedures may be comparatively minor, if only a small change is desired. Other procedures can be very complex and technically difficult. It takes both a highly trained, experienced surgeon and realistic expectations to achieve a successful outcome.
As a prospective patient, you should discuss open versus closed options with any rhinoplasty surgeon you are considering. But remember that your goal is visible and/or functional change. Are a somewhat shorter surgery and recovery time more important to you than getting the best results possible?