What is an Open Rhinoplasty?
There are two types of rhinoplasty, closed and open. A closed rhinoplasty is where the incisions are all contained to the inside of the nose through the nostrils. With open rhinoplasty, a small Z-shaped incision is made on the columella, the tissue between the nostrils. This gives Dr. Stein good visibility and access to the cartilage, bone, and tissues of the nose to repair and sculpt those tissues to your greatest advantage. Closed rhinoplasty limits this visibility and access, so often, an open rhinoplasty is recommended unless the correction you’re seeking is minimal and does not involve the nasal tip.
What are the Advantages and Disadvantages of Open Rhinoplasty?
Shorter procedure times – Because the visibility to the internal structures is improved with open rhinoplasty, Dr. Stein can achieve more in depth correction to more structures in less time. This results in less bruising despite the elevation of skin, and can reduce recovery times.
Improved structural support – With closed rhinoplasty, the incisions within the nostrils can potentially weaken the nasal structure. With open rhinoplasty, greater access to more structures of the nose gives Dr. Stein more techniques—such as sutures or grafts—to improve your nose’s shape without compromising integrity of the tissues. More cartilage is preserved in this technique, so your structural support isn’t reduced.
Visibility improves shaping – Being able to better view the tissues being remodeled gives Dr. Stein more precision control over shaping of the tissues. Structures can be modified rather than simply removed, improving their strength as well as appearance.