What is Open Rhinoplasty and Closed Rhinoplasty?

Advantages and Disadvantages of Open Rhinoplasty and Closed Rhinoplasty

The decisive factor in rhinoplasty is not open or closed technique. Method changes can be made depending on the patient’s needs, the surgical technique used by the surgeon, and the qualifications of the surgeon. The open rhinoplasty technique may be preferred, especially in operations that require full visibility of some parts of the nose, adding new tissues, or making some changes. However, the closed method can be preferred in patients who are suitable for closed rhinoplasty. 

These two methods are not competitors of each other. After the patient’s nose and facial structure is evaluated most accurately, the surgeon chooses whichever technique needs to be applied.

In the continuation of our article, we will answer the questions “What are open rhinoplasty and closed rhinoplasty?” “What are the advantages and disadvantages of open rhinoplasty?” “What are the advantages and disadvantages of closed rhinoplasty?” in detail. However, let’s first remember the answers to frequently asked questions such as “What is rhinoplasty?” and “In what cases is rhinoplasty necessary?”

What is Rhinoplasty and in what cases is it necessary?

Rhinoplasty: Rhinoplasty surgery is a surgical method that is frequently used by people who are not satisfied with their nose shape and gets successful results.

Anyone who has completed their physical development and whose health condition does not prevent a surgical operation can undergo rhinoplasty. Rhinoplasty can be performed due to aesthetic concerns such as the nose being arched and large, long, the tip of the nose being low, the size of the nostrils or asymmetry. 

With aesthetic nose surgery, the size of the nose can be increased or decreased, large nostrils can be reduced, the shape of the nose tip can be changed, and the angles of the nose with the lips and forehead can be corrected. During this procedure, cartilage and bone curvatures that cause breathing problems can also be corrected. Apart from this, the deformity that develops later due to various traumas can also be corrected with rhinoplasty or the nose can be reconstructed.

What are the Advantages and Disadvantages of Open Rhinoplasty?

Open rhinoplasty rhinoplasty is performed by making a small incision in the lower part between the nostrils. Opening the nose by making the incision in this part provides the surgeon with a wider viewing angle and provides an advantage in terms of scarring.

Open rhinoplasty technique is generally preferred in patients with severe deformities or a history of previous plastic surgery, called secondary surgery.

An informed consent form is presented to the patient before rhinoplasty surgery. It is very important that the patient reads this form carefully and asks the physician any questions he/she may have in detail before signing.

Open rhinoplasty surgery is performed under general anesthesia. Performing the operation under general anesthesia is extremely comfortable for the surgeon and the patient. Since the patient receives general anesthesia, he is usually kept under observation in the hospital overnight. The patient can return to daily life the next day. However, it is recommended that the patient rest at home for the first 2-3 days after the surgery. 

One of the most curious topics after rhinoplasty surgery is whether the operation is painful or not. Generally speaking, most patients do not complain of serious pain. However, mild painkillers can be used after the operation. Although a slight amount of swelling and bruising may be observed, these will quickly return to normal in the following days.

The biggest advantage of open rhinoplasty surgery is that the surgeon has much greater control of the nose. In this method, where every part of the nose is easily seen, the surgery is performed with millimetric measurements. It is a delicate surgery, every stage of which is performed with hand-eye coordination. In this respect, it is quite safe and is often preferred.

Apart from all these, open rhinoplasty can be considered more disadvantageous in that it takes a little longer than closed rhinoplasty surgery. In some cases, nasal tip edema may persist longer. However, we can say that open rhinoplasty is the most preferred method in the world when considered as an approach to rhinoplasty surgery. 

Open rhinoplasty is a very safe procedure when performed by an experienced surgeon. Especially when performing bone shaping, direct eye control and easy movement increases control and makes the operation safer.

What are the Advantages and Disadvantages of Closed Rhinoplasty?

Closed rhinoplasty is a rhinoplasty technique performed by making an incision on the inside of the nose, not on the wing, without lifting the nose. In this way, the skin is removed from the area to be intervened on the nasal cartilages and bones. In this area, if bone or cartilage parts are to be removed, they are removed, or if cartilage is to be added, they are added. The existing incision is then closed with stitches.

Things to consider during the preparation phase are similar for both approaches. As with any surgical operation, if medications such as blood thinners or aspirin are used, they should be discontinued for a certain period of time before the operation, after consulting a doctor.

There is only a difference in the surgical approach between closed or open rhinoplasty. One of the advantages of closed rhinoplasty is that the operation takes less time than open rhinoplasty surgery. Another advantage is that in closed rhinoplasty, the recovery time is slightly faster since the tip of the nose is not opened.

On the other hand, while it is possible to perform some procedures inside the nose by directly seeing and measuring the nose in open rhinoplasty, this is not possible in closed rhinoplasty. For example, in the closed method, it is very difficult to stop a bleeding vessel inside, whereas in open rhinoplasty, it is easier to stop any bleeding by seeing that vessel directly with the eye. This will also reduce the formation of bruises. 

It is normal for all standard surgeries to have a certain amount of bleeding. At this point, the surgeon’s expertise and experience are very important. In closed rhinoplasty, if the surgeon does not have the necessary skills, risky results and the rate of complications will be slightly higher.

In conclusion, open rhinoplasty and closed rhinoplasty are not competitors; These are the nose aesthetic surgery methods that will be preferred according to the patient’s conditions and the surgeon’s ability. For this reason, closed or open rhinoplasty is not a process that the patient should question. The surgeon will choose a method based on which method he believes will achieve the best and most successful results.

What are the Rhinoplasty Prices?

Rhinoplasty prices 2023-2024 and non-surgical rhinoplasty prices are among the most frequently asked questions by patients. Rhinoplasty surgery prices; It may vary depending on the method of the operation, the center where the procedure will be performed, and the surgeon who will perform the procedure. However, rhinoplasty is not a procedure that can be performed at very low prices. The quality of the service the patient receives is decisive in the price of rhinoplasty.

Op.Dr. for rhinoplasty surgery. You can get free consultancy from Hüseyin Karabulut Clinic. You can be sure that we will be with you with all our resources to make your dream of a natural-looking, healthy nose come true.

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