Open Rhinoplasty vs Closed Rhinoplasty
There are two primary approaches to rhinoplasty: "closed" or "open". These refer to the manner by which the surgeon accesses the nose's skeletal framework, where adjustments are made to achieve the desirable expectations of the patient. Both approaches have unique advantages and disadvantages that are carefully considered before planning the procedure.
Closed or Endonasal Rhinoplasty
A closed rhinoplasty takes its name from the limited amount of operating area exposure provided to the surgeon. All incisions are placed inside the nostrils. There are no visible scars, which is the biggest advantage of this approach. The downside is that repositioning the skin of the nose is difficult due to the fact that the nostril incisions cannot be connected. This makes it necessary for the surgeon to work in a small area without much visibility. Stretching and distortion of the nasal cartilage can also occur when gaining surgical access to the skeletal framework.
Open or External Rhinoplasty
Open rhinoplasty broadens the operating area with the creation of a small incision that bridges those made in each nostril. This connected incision allows Dr. Brown to fold the nasal skin upward and more easily see the skeleton of the lower nose. While the external approach leaves behind a tiny visible scar (usually measuring a couple of millimetres) it also makes it possible to perform the operation without the risk of distorting the nose's cartilage. The other main advantage is that the structure of the surgical site is undisturbed and can be adjusted with greater precision.
Weighing The Pros and Cons
Some patients (particularly those with straightforward nasal anatomy) can be treated through closed rhinoplasty, enjoying an improved appearance without scarring. However, the open approach is preferred. The advantages of a clearly visible operating area can lead to aesthetic results that outweigh the minor problem of a visible, but tiny, scar.
Using the open technique allows for the treatment of complex deformities and intricate issues, such as twisted noses, cleft lip, or post-rhinoplasty complications. These tend to be difficult to correct using a closed approach. In addition, the open approach is better suited for the correction of the nose tip since it causes so little damage to the internal structures of the area and achieves long lasting results. For these reasons, the open approach is the preferred rhinoplasty approach in the majority of cases.
Dr. Brown will help you determine which technique is best to achieve your desired results.
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