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What Is Rhinoplasty & What Is The Difference Between Open And Closed Rhinoplasty

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People decide to undergo rhinoplasty for different reasons. Some want to correct their deviated septum which is making their breathing difficult. Some just don’t like the small hump of the nasal bridge, and others might want a fundamental transformation.

If you’ve weighed up everything until you’ve made up your mind to go under the knife and get a nose job for whatever reason, chances are you’ve already heard the terms ‘open rhinoplasty’ and ‘closed rhinoplasty’ while gathering information about the nose job procedure.

Open rhinoplasty and closed rhinoplasty (also known as endonasal rhinoplasty) are the two main approaches to rhinoplasty. Open and closed rhinoplasty refers to two distinct approaches of reshaping a nose.

The main difference is that while open rhinoplasty refers to a procedure including an incision on the soft tissue between the nostrils (columella), the closed type addresses an almost similar treatment with all its incisions occurring inside the nostrils. Other important distinctions also define and distinguish the two procedures.

That said, you may not be able to figure out the real difference between the two approaches and the pros and cons of each one. Continue reading to find out the advantages and disadvantages of open and closed rhinoplasty methods.

OPEN RHINOPLASTY

Simply put, in open rhinoplasty the surgeon makes a small external incision (called trans-columellar incision) outside the nose at the base of the columella (the soft bridge separating the nostrils). The surgeon then gently raises the skin of the nose, allowing easy access to the bony structure and cartilage for the operation.

What are the pros of open rhinoplasty?

Open rhinoplasty has some advantages over the closed approach, which are as follows.

A. Since the nasal structure is completely revealed, the surgeon has better access to what he is going to change and thus able to operate on the nose more delicately.

B. The stabilization of the nose after surgery is easier in open rhinoplasty than closed rhinoplasty.

C. Most surgeons practice open rhinoplasty. Therefore, your chance to find a good surgeon for open rhinoplasty is greater.

What are the cons of open rhinoplasty?

The main drawbacks of open rhinoplasty are as follows:

A. Open rhinoplasty is lengthier and more invasive than closed rhinoplasty, so the recovery time will be a little longer.

B. A very small scar might be visible on your nasal columella, though only when you tilt your head back.

CLOSED RHINOPLASTY

Closed rhinoplasty was the first method of nose surgery that was performed, which is still being widely used by many surgeons. In this procedure, small incisions are made inside the nostrils and the surgeon makes alterations to the nose through the nostrils without lifting back the skin. For more info on Rhinoplasty check Kotra

What are the pros of closed rhinoplasty?

A. Closed rhinoplasty is less invasive and leaves no scarring and less swelling after surgery, so there will be a shorter recovery time and downtime.

B. A closed rhinoplasty procedure takes a shorter time to be completed than an open rhinoplasty.

What are the cons of closed rhinoplasty?

A. As there is limited visibility of the tissues and cartilage, the surgeon can make limited changes, with less delicacy.

B. There are fewer surgeons who are skillful at closed rhinoplasty than open rhinoplasty.

C. Closed rhinoplasty is not much suitable for people who want to get a lot of change in the soft tissues of their nose.

D. Incisions made in the nose weaken the nasal structure, undermining the stability of the shape of the nose in the future.

A study published in The Journal of Laryngology & Otology on the effectiveness of closed rhinoplasty approach for excision of nasal dermoids found that this method gives optimal cosmetic results in excision of small, superficial nasal dermoid cysts in well-selected cases and provides adequate exposure for total extirpation.

The Average Cost Of Rhinoplasty

Rhinoplasty cost ranges from   50,000 to   1.5 lakhs, depends on how complex steps we need to perform in surgery. Same surgery costs in corporate hospital around   1.5 lakhs to   2.5 lakhs. If nasal implants are used additional cost of   10,000 to   15,000, however this will depend on your particular case. This can only be determined during a consultation with your surgeon, and following that an accurate price can be quoted.

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