When preparing for plastic surgery, patients ask themselves: which is better - open or closed rhinoplasty? In fact, there is no clear answer to this question. Of course, there is a fundamental difference between the two methods, but both are equally required. The choice of surgical method for a particular patient is determined individually and depends on many factors, for example:
- the nature of nasal defects. If a large amount of intervention is planned or the correction requires the installation of implants, cutting the nasal bones, it is better to use open rhinoplasty, which provides a wider visualization of the surgical site and the appearance of even small structures. elements.
- specialty of surgeon. Closed access is not for every specialist. The surgeon requires extensive experience in rhinoplasty surgery, perfect knowledge of anatomical internal structures.
- features of the previous operation. Repeat surgery is usually performed using open rhinoplasty techniques, as it is extremely important for the doctor to see all the nuances of the previous intervention.
During the consultation at the clinic, specialists take into account your wishes for surgery, but the final decision on whether to perform open or closed rhinoplasty is made by the doctor based on the individual characteristics and characteristics of the patient.
Indications and contraindications for open rhinoplasty
Indications for open rhinoplasty
The instructions for open rhinoplasty are the same as for any rhinoplasty:
- high, broad, straight back of nose;
- asymmetry;
- collapses and disturbances;
- rounded, lowered, or very raised nose tip.
Contraindications for open rhinoplasty
- Until the age of 18 (the process of tissue formation is not over yet);
- inflammatory ENT diseases;
- herpes in the active stage;
- decompensated diabetes mellitus;
- blood clotting disorders;
- menstruation.
Open rhinoplasty procedure
Open rhinoplasty is performed under general anesthesia. The patient must first undergo tests prescribed by a surgeon.
Open rhinoplasty provides a complete visualization of the surgical process: the surgeon has the opportunity to examine in detail all the structures of the nose. During the correction, the surgeon makes an incision at the base of the columella (the area of skin between the nostrils). Then, a small marginal incision is made from the columella to the inside of each nostril.
In open rhinoplasty, the surgeon carefully cuts the skin in the area of the columella with special surgical scissors, separating it from the cartilaginous frame of the nose. The doctor now has the opportunity to examine in detail all the anatomical components, assess the condition of the structures of the cartilage and bone, and give them the necessary shape. During open rhinoplasty, the doctor removes and moves cartilage, bone fragments, installs special nasal implants, etc.
At the end of open rhinoplasty, the surgeon applies a thin suture to the incision site: a fine work with the incision allows you to get an inconspicuous scar. The rounds are installed in the nasal passages (removed the next day), a hard plaster bandage is applied (the doctor will remove it in 10-11 days).
Thus, in open rhinoplasty, the only visible and temporary part of the incision is the columella zone. The cut shines and becomes invisible after a few months.
Rehabilitation after open rhinoplasty
You will be in the clinic's hospital for the first 1-2 days after open rhinoplasty.
You can evaluate the initial result of open rhinoplasty after removing the cast, but the nose will still look swollen. The picture will be clearer 1, 5 months after the operation. You should stop exercising for at least two months after open rhinoplasty. Contact sports (boxing, wrestling) can be started no later than 6 months: after open rhinoplasty, the nose requires careful treatment and even complete elimination of minimal injuries.
For two months after open rhinoplasty, you should forget to wear a sauna, steam bath and glasses.