Closed Rhinoplasty

Closed Rhinoplasty

Closed rhinoplasty is a surgical approach done through the nostrils when performing a nose job. All the incisions are made inside the nose and no external scars will be present. While some surgeons believe that an open rhinoplasty provides more access to the nasal structures, a skilled surgeon will be able to use either procedure effectively. The closed procedure is more difficult to learn and requires a bit more practice. In addition it may not be as widely taught as in years past.

Advantages to a closed rhinoplasty include less post op edema, decreased potential for scarring, a shorter time in the operating room, and a quicker recovery period. In addition the surgeon can make targeted improvements without taking the nose apart. That would be enough to convince me. The thought of someone taking your nose apart is unappealing to say the least. The proponents of the open procedure would say it all comes down to one small cut. The resulting scar will be underneath the nose and nearly invisible over time.

Preparation and aftercare are pretty much the same in both approaches. After the consultation, your doctor will tell you what is the best approach for your particular problem. If the possibility of even a small scar bothers you, ask if the closed procedure can be used to achieve your desired results. Surgery is done under general and sometimes local anesthesia and you will likely return home the same day with antibiotics and pain medication. If there is packing or internal splint those will be removed at the first post op appointment. Packing is seldom left in for more than a day or two and may not e used at all. The splint will protect and support the nose until it's new shape is stable.

You will need to rest for the first week or so and keep your head elevated on several pillows to minimize swelling. Bruising will look worse before gradually decreasing over the next week or two. Most people return to work after aboutthree weeks and can resume most of their normal activities. The doctor will advise you as to what things to avoid.In general, avoid bending over, lifting, or anything that causes you discomfort. Strenuous exercise is not advised for a longer period of time. You want to avoid doing anything to injure your new nose. The tissues are delicate and need time to heal.

Open or closed rhinoplasty? It's decision you and your surgeon should make taking into consideration the pros and cons for both procedures.

 

 

 

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