Closed and open rhinoplasty, how the doctor determines the correction method

Closed and open rhinoplasty

The surgical procedure for rhinoplasty is performed with the aim of correcting congenital defects in the nose or injuries. It is often used by clients who dream of giving their nose a more expressive shape, raising or lowering the tip. The corrective operation can be performed using an open or closed method. Before surgery, you should be informed about each method and the doctor  will determine the best method for rhinoplasty, based on the individual characteristics of the patient.

Features of the closed method and indications for such rhinoplasty

This method of rhinoplasty involves making incisions from the inside of the nose. The doctor excises the cartilage and bone tissue through them, then applies cosmetic sutures along the contour of the nostrils. They are not noticeable, no one will even see that the person was performing the operation.

The procedure is considered non-traumatic as the plastic surgeon does not touch the columellar arteries. This also shortens the duration of rehabilitation. In this case, the technique also has disadvantages. The manipulations carried out are limited, because they have to be performed blindly. Also, symmetry is difficult to achieve. Also, in the case of the installation of an implant, it can be placed only in a small area, since a large one cannot be inserted through a small incision in the nostril.

During closed rhinoplasty, you can get rid of the hump on the nose, correct the wings of the nose, and reshape the nostrils. Before the operation, the patient undergoes a complex examination to prevent the risk of possible consequences. Rhinoplasty is performed under general anesthesia.

Application of the closed rhinoplasty method:

• desire to change the size and shape of the nose;
• violation of the structure of partitions;
• strongly narrowed or, on the contrary, wide nasal passages;
• deformation of the shells of the nostrils;
• correction of the shape of the tip of the nose;
• a disproportionate size.

This method of correction helps to solve not only aesthetic problems, but also to correct existing defects in the olfactory organ that interfere with breathing.

What is the difference between closed and open rhinoplasty?

For most patients, open and closed rhinoplasty is confusing, since many do not know the main differences between the two methods. In order to understand the procedure, we propose to study the comparison table.

Of course, it is difficult to determine the best method at once, because the result depends on the anatomical characteristics of the patient as well as the indications for the operation. However, there are still differences. For example, closed rhinoplasty is characterized by low invasiveness, no scars after surgery, and a short rehabilitation period.

How the optimal variant of plastic surgery is determined

The choice of open or closed rhinoplasty is determined by the surgeon. To solve the problem in each specific case, he assesses the state and physiology of the patient. Also, the surgeon takes into account the main factors:

• The closed method is more often preferred by experienced surgeons. Skill and qualifications of a specialist will be required because of lack of visibility.
• How distinct are the defects. Sometimes their elimination is possible only by using the open method.
• The scale of the operation. If it is required to remove the concave area, the operation is performed using the open method.
• Whether there have been previous surgical interventions. It so happens that a patient has already turned to the services of a surgeon, but the result of the correction did not satisfy him. In this case, the open technique is used.

Only the surgeon can finally determine the necessary surgical method. The qualification of a specialist is especially important for solving the patient’s problem, of course, he also listens to the wishes of the patient himself.

When planning nose tip surgery, doctors usually perform open rhinoplasty. If the patient has a curvature of the septum or has repeatedly turned to surgical plastic, open rhinoplasty is chosen.

When the doctor sees that the amount of work is insignificant and the operation will be performed on the dorsum of the nose, he can apply a closed technique. Usually, this type of rhinoplasty is performed on patients whose flaws are not large and the olfactory organ has a good structure. Speaking about the complete restoration of the nose, the use of the open method is more effective here.

The personalized approach to each patient, which Andrei Leonidovich Kharkov uses in his work, allows him to determine the exact method of correction. The doctor explains to the patient why and which method of nose correction is best for him. He tells about the main differences, advantages and disadvantages of each method in a particular case.