Types of Rhinoplasty: Open and Closed
Rhinoplasty is performed by first separating the nose skin from its support system of bone and cartilage and then sculpting the bone and cartilage into the desired shape. When the skin is re-draped over the newly-sculpted framework, the result is a well-proportioned, refined look. Dr. Fredric Newman will use one of two techniques when performing your procedure, taking into consideration your specific situation and goals for nose surgery. The preparation for and recovery from rhinoplasty are fairly similar either way, since the main difference between these two techniques consists of a single incision. Each of the two nose surgery methods, though, has its own benefits and drawbacks.
Closed Nose Surgery
In the closed version of rhinoplasty, several incisions are made within the nose. The locations of the incisions will depend on the type of modifications being made in your nose surgery. No incisions are made on the outside of the nose. The skin is then disconnected from the bone and cartilage, which may be restructured, partially removed, or augmented to attain the desired shape. This closed nose surgery technique requires a skilled surgeon because the inner structure of the nose is difficult to see without making external incisions. One main advantage of the closed rhinoplasty technique, though, is that you are left with no visible scars. Dr. Newman opts to perform closed nose surgery for most of his patients; however, he will use whichever method is the most appropriate for your situation and desired outcome.
Open Nose Surgery
In certain cases, Dr. Newman chooses to use the open method of nose surgery. In open rhinoplasty, an incision is made in the vertical strip of skin between the nostrils, which is called the columella. With this technique, the nasal skin can be elevated and the inside of the nose exposed. Thus, the major advantage of the open approach is that it makes the anatomy of the nose visible in its natural position. This technique is particularly helpful for fixing problems with the nasal tip and septum. In most cases, the incisions across the columella heal quite nicely, leaving no telltale scarring. Whichever technique is used, nose surgery is usually performed under general anesthesia on an outpatient basis.