Rhinoplasty, or a nose job, is a procedure that changes the structure of the nose for medical or aesthetic purposes. The two common forms of this plastic surgery are a closed or open rhinoplasty. The closed option does not make any incisions on the outside of the nose, while the open style uses a small incision on part of the septum.
Benefits of Open Rhinoplasty
Easier Procedure
One of the biggest benefits of open rhinoplasty is that it allows plastic surgeons to accomplish complex procedures easier. The primary reason for this is due to the position of the external incision. The doctor gains more visibility into what’s going on inside your nose and what the best options are for altering the nose structure. Delicate changes require significant precision to handle. Open rhinoplasty makes it possible to create subtle but profound alterations that can give you better functionality and a whole new look.
Some nose job options require an open surgery due to the improved control. The surgeon does not have as many choices if they use a closed rhinoplasty. They may be unable to get the results you want if they don’t make an incision in the septum.
Catching Smaller Issues
The direct access to the inside of your nose also allows your doctor to discover whether there are other areas of improvement. They may find some nasal deformities or a functionality problem that would have been difficult to see if the surgery was closed. Hereditary nasal issues often require complicated fixes and many adjustments to the original plan of action.
Thicker skin around the nose is more difficult to shape without additional access. The incision gives the surgeon the necessary room to work toward the patient’s result. It’s also a good option for patients with thinner skin, due to the need for a well-defined look.
Risks of Open Rhinoplasty
Your plastic surgeon will cover the risks of open rhinoplasty during the consult and pre-surgery visits, but it’s good to know what to expect ahead of time. The overall procedure takes longer since you have an external incision as well as internal ones.
Swelling or Infection
Swelling is more pronounced with open rhinoplasty, and it may take several weeks for it to go down. Follow the post-surgical instructions carefully so you can put yourself in a good position for a speedy recovery. You’ll feel discomfort and pain immediately following the surgery, but you’ll feel better quickly.
The incisions could end up infected during the aftercare period. Typical signs of an infection in or on your nose include pus drainage, red and hot to the touch skin or the incision getting larger. Don’t hesitate to talk to your doctor and get checked out if you suspect this situation is occurring. The earlier you treat the infection, the less likely it is to get in the way of your nose healing.
Side Effects of Anesthesia
You will be put under general anesthesia during this surgery, so the risks associated with it are present in open rhinoplasty. Some of the potential side effects include nausea, confusion and increased blood pressure. Serious complications don’t occur often, but some demographics are at higher risk of strokes or heart attacks. In general, if anyone in your family has an anesthesia mishap story, you should let your plastic surgeon know well in advance. Older people with other health issues also need to be careful about undergoing this procedure.
How to Choose the Right Type of Rhinoplasty for You
Discuss the advantages and disadvantages of open and closed rhinoplasty with your plastic surgeon. Take a collaborative approach to find the solution that works best for your nose job goals, the risks that you feel are acceptable, and what the doctor recommends for your situation.
In general, the more extensive or complicated the work is, the more likely open is the better option. Everyone’s situation is unique, however, so take the time to have this discussion during the consultation stage so you get the nose you’ve always dreamed of.
