Open Surgery Technique in Rhinoplasty



Open Surgery Technique in Rhinoplasty


The nose is a key element of the face, and being located in the center makes it the most visible part. Therefore, any deformity or disproportionately sized nose is most often visible. A small change in its structure can have a significant impact on our appearance and our self-confidence.

Rhinoplasty is a surgical procedure of the nose aimed at changing its shape for mainly nose enhancement. It simply gives the face a better harmony and balance. There are several advantages for people who get nose surgery in terms of their general psychological health. Many people's self-images are negatively impacted by facial injuries sustained physically or by genetic defects. Any person dealing with such problems can benefit from a rhinoplasty performed by a cosmetic surgeon.


What is Rhinoplasty?

Rhinoplasty is one of the most common facial cosmetic surgery procedures, performed by thousands of people daily due to its physical and emotional medical benefits. This surgical procedure should be performed by a cosmetic surgeon who has actual experience in performing nose job surgeries and should also have a high patient satisfaction rating.

Aesthetic reasons that may lead a patient to undergo rhinoplasty include the following:

  • Nose size in relation to facial balance
  • A nasal base that is too large and protruding
  • Nasal asymmetry
  • An abnormally shaped nasal tip: enlarged or bulbous, drooping, upturned, or hooked
  • Nose profile with visible bumps or depressions on the bridge
  • Large, wide, or upturned nostrils
  • Straightening a crooked nose
  • Change in overall shape and size of the nose


Rhinoplasty techniques

In surgery, there are a variety of techniques depending on the part of the body operated on. Rhinoplasty can be performed using different techniques depending on the needs of each patient. The most common techniques are open rhinoplasty and closed rhinoplasty. During the consultation, the surgeon will decide which types of surgery to perform. However, open rhinoplasty is quite preferred by surgeons.

The two terms "open" and "closed" may have appeared when reading about rhinoplasty for patients interested in this procedure, but what is the difference?


What is an Open Rhinoplasty?

An open rhinoplasty is a surgical procedure aimed at improving the aesthetic appearance of the nose. Open rhinoplasty involves cutting the skin between the nostrils, allowing the surgeon to have easier and more direct access to the structures of the nose. More precisely, a short, roughly Z-shaped incision is made between the nostrils on the bottom of the nose. This surgical technique then allows greater flexibility in changing the shape of the nose and can provide more precise results than a closed rhinoplasty. However, it also might leave a more visible scar than a closed rhinoplasty, as the only incisions done during a closed rhinoplasty are through the nostrils on the interior of the nose and the skin remains unharmed in the outside area of the nose.

General anesthesia or local anesthesia combined with light sedation may be administered to perform open rhinoplasty on a patient. In either situation, there won't be any suffering or pain experienced by the patient, and they won't remember the surgery when they are brought out of it.


What are the advantages of open rhinoplasty?

Although open rhinoplasty is more invasive than closed rhinoplasty, it has some advantages over the closed approach, which are as follows:

  • Since the nasal structure is completely revealed, the surgeon has better access to the underlying anatomy of the nose and therefore more freedom to reshape the nose as the patient desires.
  • The contour of the underlying cartilages can frequently be changed with sutures, minute feathering incisions in the cartilage, and, if required, carefully positioned cartilage transplants. This improves the retention of structural support. As a result, more cartilage is preserved, and the structure is supported.
  • Stabilization of the nose after surgery is easier in open rhinoplasty than in closed rhinoplasty.
  • Most surgeons perform open rhinoplasty. Therefore, the chances of finding a good surgeon for open rhinoplasty are greater.

What are the disadvantages of Open Rhinoplasty?

The main disadvantages of open rhinoplasty are:

  • Open rhinoplasty takes longer time and is more invasive than closed rhinoplasty, so the recovery time will be a little longer and it will take longer for the swelling and bruising to go away due to the elevation of the skin.
  • Patients will only need a little incision made in the area between their nostrils on the bottom of their nose. To achieve a seamless finish that will be barely perceptible, the sutures used to seal this incision will be placed with great care. However, a very tiny scar may remain on the nasal columella, visible only when tilting the head back, and with the right treatment, it will shortly go away.


How long does open rhinoplasty take to heal?

The healing time for an open rhinoplasty can vary from patient to patient. Generally, most patients can return to daily activity within 10 to 14 days following the procedure, although some side effects such as swelling and bruising may persist for several weeks. It is also recommended not to perform activities that could cause shock or pressure on the nose, such as sports or wearing glasses, for at least six weeks after the procedure.


Where are the scars from open nose surgery located?

Scars from open nasal surgery are usually located inside the nose as well as at the columella, so they are difficult to see and allow for a natural result. However, it is possible that scarring will also be visible on the skin around the nose, particularly if the surgery was very invasive or was performed by a non-experienced surgeon. Thus, it is highly important to choose the right surgeon for the procedure.


What convalescence after open rhinoplasty should be expected?

Recovery from open rhinoplasty may vary from patient to patient, depending on factors such as age, general health, quality of the nasal skin, and the amount of correction needed. In order to obtain the desired aesthetic appearance, the surgeon will give specific instructions on what care to follow during the recovery, but here are some general rhinoplasty recovery tips:

  • Get as much rest as possible for the first few days after surgery, which helps in rapid healing.
  • Follow the surgeon's instructions about caring for the nose during the healing period. This may include local care and taking painkillers to relieve pain and reduce swelling.
  • Avoid taking treatment with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, which can increase the risk of bleeding and infection without the advice of the performing surgeon.
  • Postoperative follow-up is essential to avoid any complications and guarantee a rapid recovery. By choosing a qualified and experienced surgeon, you can be sure that your rhinoplasty procedure will be a success and will allow you to achieve a harmonious and natural nose that will improve your appearance and your self-confidence.


Criteria to find the right surgeon

To find the right surgeon for your rhinoplasty procedure, it is important to take certain criteria into account. Here are some of the most important criteria:

Experience and qualifications: The surgeon must be qualified and have significant experience in cosmetic nose surgery.

Reputation: The reputation of the surgeon is also important.

Results: The surgeon should be able to provide you with examples of previous results to give you an idea of what you can expect from the operation.

Communication: The surgeon must listen to your needs and concerns. You must be able to ask all your questions, receive clear and precise answers, and discuss your expectations and available treatment options.

Costs: The cost of the operation is an important factor for many patients. However, it should not be the only factor considered. You should look for a surgeon who offers competitive prices without compromising the quality of care.

Docfinderkorea will definitely help you find the right surgeon for your upcoming Open Rhinoplasty procedure.



Does open rhinoplasty cause post-operative pain?

Open rhinoplasty can cause post-operative pain, as with any surgical procedure. Most patients experience moderate pain which can be relieved by taking painkillers. However, if you have intense or persistent pain, it is important to contact your surgeon.


How long does postoperative edema last?

Post-operative edema is swelling that can occur after surgery, including rhinoplasty. The duration of edema varies from one patient to another, depending on the technique used during the procedure as well as the care applied after the operation. In general, it can last from a few days to several weeks.


Can we choose between open or closed rhinoplasty?

You can choose by choosing your surgeon. There are surgeons who only do closed rhinoplasty, others who only do open rhinoplasty, others who do both. Those who do both will advise you what is best for you.

Open or closed surgery differs from patient to patient. Depending on the problem at hand, your doctor will tell you if you are suitable for closed surgery.


Is rhinoplasty surgery permanent?

The results are permanent. This way, the nose will no longer change shape. However, if necessary, unpleasant results can be corrected with revision rhinoplasty.


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The nose is what we see first on a face, it simply contributes to its harmony. In addition to contributing to facial character traits, it is often the first thing we observe when we look in a mirror. Any problem that can effect the overall look of the nose can definitely have a negative impact on one’s psychology. Thus, if you are considering undergoing any enhancement surgery, It should be your own choice whether to undergo a nose job. Consider your options carefully and make an informed choice by referencing to Docfinderkorea.