Open vs. Closed Rhinoplasty: Understanding the Procedures
The nose is the central facial feature. If its shape, placement, or proportions are off, it can have a negative effect on overall facial aesthetics. Patients can choose between open or closed rhinoplasty surgery at our Victoria, TX, practice, each offering their own benefits in terms of scarring and shape customization. At South Texas Plastic Surgery, Dr. Brian F. Burns will review open vs. closed rhinoplasty with patients and explore the pros and cons of each treatment option.
Open vs. Closed Rhinoplasty: A Brief Overview
The primary goal of rhinoplasty is to alter the bone and cartilage of the nose for a more uniform, balanced appearance. There are two ways to access these structures:
- Open rhinoplasty: To perform this procedure, two incisions are created inside the nose with an additional incision across the columella – the piece of tissue that separates the nostrils.
- Closed rhinoplasty: During closed rhinoplasty, only two internal incisions are made, with all alterations being made through those openings.
Pros and Cons of Open Rhinoplasty
An open rhinoplasty provides Dr. Burns with direct vision, allowing for more precise and accurate treatment. For example, certain aspects of nasal anatomy may not be obvious from an external standpoint. However, an open rhinoplasty allows the surgeon to recognize any notable irregularities or abnormalities. Because of the additional incision, certain tissue and cartilage manipulations are possible which are not feasible with closed rhinoplasty.
An open rhinoplasty is often the preferred treatment due to its impeccable accuracy.
Some patients fear undergoing an open rhinoplasty because they do not want a noticeable scar. However, due to the advanced techniques and methods used at our practice, scarring is virtually invisible. An open rhinoplasty causes more swelling and inflammation compared to a closed rhinoplasty. However, it is important to note that these side effects are normal and will diminish. An open rhinoplasty is often the preferred treatment due to its impeccable accuracy.
Pros and Cons of Closed Rhinoplasty
While an open rhinoplasty is preferred by Dr. Burns in many cases, there are instances when a closed approach is appropriate. For example, patients who only require minimal alterations can benefit from a closed rhinoplasty. As before mentioned, an open rhinoplasty rarely leaves a visible scar. However, with a closed rhinoplasty, there is no risk for scarring whatsoever. In addition, a closed approach typically results in less post-operative swelling and inflammation.
Even the most minor changes in nasal anatomy can require a significant amount of detail-oriented work. Therefore, Dr. Burns finds that in most cases, a closed rhinoplasty is not recommended for long-term optimal results. For example, to perform rhinoplasty correctly, the surgeon must take many factors into account, including the natural aging process. An open rhinoplasty allows Dr. Burns to create a structure that will be long-lasting, rather than a quick cosmetic adjustment that may only offer short-term advantages.
Which Treatment Option Is Right for Me?
If you are considering rhinoplasty, it is important to have a full understanding of your treatment options. During a complimentary consultation at our practice, Dr. Burns can discuss each solution with you in detail and design a treatment plan to meet your goals.
Contact Our Practice to Learn More
To learn more about open and closed rhinoplasty, schedule your appointment at South Texas Plastic Surgery. Call our office at (361) 576-1975 or contact us online anytime.