Rhinoplasty is a powerful reshaping tool for refining the nasal tip, bridge, and nostrils. It can bring balance and harmony to the profile, enhancing self-confidence and overall quality of life. However, many patients seeking rhinoplasty are unaware of the specific techniques utilized by plastic surgeons to achieve a more attractive appearance.
In this blog, Dr. Daniel I. Shapiro, MD, FACS, a board-certified plastic surgeon serving patients in and beyond Scottsdale and Paradise Valley, Arizona, explores the key differences between open and closed rhinoplasty techniques, both of which can be instrumental in delivering nuanced, natural-looking changes.
Rhinoplasty Before and After Gallery
What Is Open Rhinoplasty?
Open rhinoplasty affords the surgeon optimal access to the internal structures of the nose, which is critical in more complex cases and those requiring both cosmetic and functional alterations. Surgeries involving cartilage or bone grafting almost always require an open approach, as do revision procedures. The incision is placed at the base of the nose across the columella, with the possibility of additional incisions inside the nostrils. Scarring is minimal, with the incision line usually fading to a thin, light mark that is only noticeable by the patient and the doctor.
Risks of open rhinoplasty include:
- Swelling
- Bruising
- Bleeding
- Infection
- Poor scarring
- Skin discoloration
- Poor reactions to anesthesia
- Numbness
- Poor aesthetic results
What Is Closed Rhinoplasty?
Closed rhinoplasty, also referred to as endonasal rhinoplasty, is an ideal technique for correcting minor nasal irregularities, such as bumps, humps, and tip imperfections. It can also be useful for procedures that aim to lengthen or shorten the profile. With closed rhinoplasty, incisions are created inside the nose where scarring is later unseen. Total treatment time is typically 1-2 hours, and patients usually experience less swelling and downtime.
The risks of closed rhinoplasty include:
- Swelling
- Bruising
- Asymmetry
- Nerve damage
- Nosebleeds
- Poor reactions to anesthesia
The Expertise of Your Surgeon Plays an Important Role
When undergoing nose surgery, it is essential to choose a provider who is well-versed in both techniques, especially if undergoing a revision procedure or functional rhinoplasty. This ensures your provider has the flexibility to select the ideal solution for your unique needs rather than attempting to use a cookie-cutter approach. Dr. Shapiro in Scottsdale, AZ, is a board-certified rhinoplasty expert who has mastered both the open and closed approach and has at his disposal a wide range of techniques to powerfully transform the nose inside and out – with stunning results.
Rhinoplasty Before and After Gallery
Am I a Candidate for Open Rhinoplasty?
Open rhinoplasty is a good solution for patients who require more profound changes to the septum, nostrils, and bridge of the nose. This approach comes with a small, minor scar at the base of the nose, which patients should be comfortable with. To qualify for open rhinoplasty, it is important that patients are healthy non-smokers free from any uncontrolled medical issues like hypertension or bleeding disorders. Lastly, they should have realistic expectations for what open rhinoplasty can accomplish.
Am I a Candidate for Closed Rhinoplasty?
For patients who require more nuanced changes to the nasal tip or bridge and enhanced symmetry, a closed approach may be just what the doctor ordered. While the surgeon’s view of the internal nasal structures is somewhat limited, there is no external scarring. This can be a game-changer for patients concerned about other people knowing they’ve undergone cosmetic surgery. As with open rhinoplasty, it is imperative that patients are healthy, have realistic expectations, do not smoke, and are not struggling with any untreated medical issues.
Schedule Your Rhinoplasty Consultation in Scottsdale Today!
If you are unhappy with the size, shape, or function of your nose, don’t hesitate to reach out to our team today to set up a private consultation with Dr. Shapiro. He has the expertise, dexterity, artistry, and elite training background that ensure a natural-looking, satisfying final result when it comes to nose surgery. Whether performing open or closed rhinoplasty, Dr. Shapiro tailors his approach to your individualized goals, comfort levels, and preferences, providing concierge care in a world-class practice setting. Contact us today to get started!
