In preparation for plastic surgery, patients ask themselves which is better - open or closed rhinoplasty? In fact, there is no exact answer to this question. Of course, there is a fundamental difference between the two methods, but there is an equal need for both. The choice of surgical method for a particular patient is determined individually and depends on a number of factors, such as:
- the nature of nasal defects. If a large number of procedures are planned, or if the correction requires implant implantation and sawing of the nasal bones, it is more appropriate to use open rhinoplasty, which means greater visibility of the surgical area and visibility of small structural elements. items.
- surgeon qualification. Closed access is not available to all professionals. The surgeon requires extensive experience in performing rhinoplasty, impeccable knowledge of anatomical internal structures.
- characteristics of the previous operation. Reoperation is usually performed using the open rhinoplasty technique, as it is extremely important for the doctor to see all the nuances of the previous procedure.
At the clinic, the specialists will take into account your wishes regarding the operation, however, the final decision on whether to perform an open or closed rhinoplasty will be made by the doctor, based on the individual characteristics and indications of the patient.
Indications and contraindications for open rhinoplasty
Indications for open rhinoplasty
The indications for open rhinoplasty are the same as for any other rhinoplasty:
- high, broad, flat nasal bridge;
- asymmetry;
- descents and irregularities;
- nasal tip rounded, sunken or too high.
Contraindications to open rhinoplasty
- age up to 18 years (the process of tissue formation is not yet complete);
- inflammatory ENT diseases;
- herpes in the active phase;
- decompensated diabetes mellitus;
- blood clotting disorder;
- menstruation.
Procedure for open rhinoplasty
Open rhinoplasty is performed under general anesthesia. Previously, the patient must pass the tests prescribed by the surgeon.
Open rhinoplasty provides a complete view of the surgical process: the surgeon has the opportunity to examine all the structures of the nose in detail. During the correction, the surgeon makes an incision in the bottom of the columella (the area of skin between the nostrils). A small extreme incision is then made from the columella to the inside of each nostril.
During open rhinoplasty, the surgeon gently cuts the skin in the columella area with special surgical scissors, separating it from the nasal cartilage. Now the doctor has the opportunity to examine all the anatomical components in detail, assess the condition of the structure of the cartilage and bone sections, and give the required shape. During open rhinoplasty, the doctor can remove and move cartilage, bone, insert special nose implants, and so on.
At the end of an open rhinoplasty, the surgeon applies a thin suture to the incision area: fine work with the incision allows an inconspicuous scar to form. Turundas are inserted into the nasal passages (removed the next day), a hard plaster bandage is used (the doctor removes it for 10-11 days).
Thus, in open rhinoplasty, the only and temporarily visible part of the incision is the columella zone. The incision becomes lighter and becomes invisible within a few months.
Rehabilitation after open rhinoplasty
You will be in the hospital of the clinic for the first 1-2 days after the open rhinoplasty.
The primary outcome of open rhinoplasty can be assessed after the plaster is removed, but the nose still appears swollen. The image will be clearer 1, 5 months after the operation. You must stop playing the sport for at least two months after the open rhinoplasty. Contact sports (boxing, wrestling) can be started after 6 months at the earliest: the nose after open rhinoplasty requires careful treatment and the complete elimination of minimal injuries.
For two months after an open rhinoplasty, you should forget about the sauna, steam bath and wearing glasses.