Closed vs Open Rhinoplasty

Medical content writer - Medical student
23 March. 2021
Closed vs Open Rhinoplasty
4.5/5 - (4 votes)

Closed vs Open Rhinoplasty ? Today plastic surgery is so popular in modern society. Plastic surgery is a wonderful way to make adjustments that can increase your happiness and target the areas that you choose. By this surgery you can feel like the best version of yourself and improve your self-esteem.

One of the most common plastic surgery is rhinoplasty or nose job that is a procedure for altering and reconstructing the nose. In this article, we explain about rhinoplasty, the different types of rhinoplasty, the results and advantages of them.

What is rhinoplasty?

A nose job, technically called a rhinoplasty, is surgery on the nose to change its shape or improve its function. In fact, a rhinoplasty is a set of surgical enhancements to the nose, to improve upon one or a number of issues.
Although a rhinoplasty is most often a cosmetic procedure, there can be medical benefits to aspects of this surgery as well, including the ability to breathe better.
Rhinoplasty is the most challenging plastic surgery procedures and includes two main approaches: Open rhinoplasty and closed rhinoplasty, also known as endonasal rhinoplasty or ‘scarless’ rhinoplasty.

Open rhinoplasty

The modern approach to open rhinoplasty focuses on cartilage preservation and incremental changes to the cartilage and bony framework. Open rhinoplasty or external rhinoplasty is performed by making a small incision on the columella, the soft tissue that separates the nostrils.
While under general anesthesia this technique allows for easy access to the underlying bone and cartilage structure. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance.
The open rhinoplasty approach allows for a clearer view of corrections that need to be made as well as clarity and ease for intricate suturing and/or grafting. The scar left behind is barely visible and will usually fade with time.

Closed rhinoplasty

Closed rhinoplasty is done as an alternative to the open technique. Instead of exposing the nasal structure, incisions are made on the nasal membrane in varying locations to access different parts of the nose framework.
By this technique, patients are able to have reduced recovery times and non-visible scars. The postoperative scarring in this operation will be hidden and discreet, and when repair has been completed, sutures will close incisions and an external splint or cast will be placed over the nose.

Is closed rhinoplasty better than Open?

The practical difference between the two techniques is small, but the results are important. Without the columellar incision, the closed technique allows for faster operation and less swelling during the recovery period. On the other hand, an open rhinoplasty allows for more precision for difficult noses and when altering the nasal structures for more complex cases.

An open rhinoplasty allows the surgeon to measures and analyzes the anatomy of the nose, so he can do the most detailed and accurate of work. Also open rhinoplasty gives the surgeon the ability to see any asymmetry or abnormalities that were not clear from an external examination.
The surgeon can be much more precise in open rhinoplasty. Given that the nose is such a prominent feature, and such a delicate structure, the more precision in a rhinoplasty, the better.

Some people don’t like using open rhinoplasty because of the scare and swelling after this operation, thus they choose closed rhinoplasty. The closed rhinoplasty does have the advantage of having no scar and has a short term advantage of having somewhat less swelling during the recovery period.

Finally: Closed vs Open Rhinoplasty

In general, open rhinoplasty is suitable for any type of nose as there will be no limitation for the surgeon to operate on the nose. If you want to get the size of your nose changed, have your dorsal hump removed, or get your nasal tip corrected, choose open rhinoplasty.
But if you want a small change to the nose, especially to the nasal bridge rather than the tip, and at the same time want to recover quickly with the least possible downtime, choose closed rhinoplasty.

Is closed rhinoplasty cheaper than Open?

The open rhinoplasty may be used to alter all of the components of the nose, also requires additional steps to reinforce the tip structural support. Both alteration of the tip shape, as well as reinforcing steps, result in the open rhinoplasty taking twice as long as the closed rhinoplasty and as a result, is a more expensive procedure.
Of course it depends on surgeon too, some surgeons charge higher fees for closed rhinoplasty because it is more delicate but others may charge a lower or equal fee.

Closed vs Open Rhinoplasty Conclusion

As said above, open and closed rhinoplasty have their own advantages and disadvantages. With that in mind, depending on each individual’s circumstances and desired results, one of the methods is more suitable than the other.
When you’re considering a rhinoplasty, you may be wondering if an open vs closed rhinoplasty is the best choice for you. While these two types do differ, choosing open vs closed rhinoplasty should not be a priority in your initial search.
The skill and experience of the surgeon you choose will have far more of an impact on your rhinoplasty results, compared to whether that operation is open or closed.
Iran is the best destination for rhinoplasty, with the cheapest price and the most professional surgeons. For more information and to see the Mediranco packages, read the rhinoplasty in Iran page.

Frequently Asked Questions

  • Both alteration of the tip shape, as well as reinforcing steps, result in the open rhinoplasty taking twice as long as the closed rhinoplasty and as a result, is a more expensive procedure.

  • The practical difference between the two techniques is small, but the results are important. Without the columellar incision, the closed technique allows for faster operation and less swelling during the recovery period. On the other hand, an open rhinoplasty allows for more precision for difficult noses and when altering the nasal structures for more complex cases.

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