When preparing for plastic surgery, patients ask themselves the question: which is better - open or closed rhinoplasty? In fact, there is no one right answer to this question. There is, of course, a fundamental difference between the two methods, but they are both equally in demand. The choice of surgery method for a particular patient is determined individually and depends on many factors, such as:
- the nature of nasal defects. If a large amount of intervention is planned, or if the correction requires the installation of implants, sawing of the nasal bones, it is better to use open rhinoplasty, which involves greater visualization of the surgical field and the visibility of even small structures. elements.
- qualification of surgeon. Closed access is not for every specialist. The surgeon requires extensive experience in performing rhinoplasty, impeccable knowledge of internal anatomical structures.
- features of 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 intervention.
At the clinic consultation, specialists take into account your wishes regarding surgery, but the final decision whether to perform open or closed rhinoplasty is 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 rhinoplasty:
- posterior part of nose high, broad, flat;
- asymmetry;
- diving and irregularities;
- the tip of the nose rounded, lowered or very raised.
Contraindications to open rhinoplasty
- age up to 18 years (the process of tissue formation is not yet complete);
- inflammatory diseases of the ENT;
- 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 offers a complete visualization of the operation 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). Next, a small marginal incision is made from the columella on the inside of each nostril.
In open rhinoplasty, the surgeon carefully cuts the skin in the columella area 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 cartilaginous and bone sections and give them the necessary shape. During an open rhinoplasty operation, the doctor can remove and move parts of the cartilage, bone, place special nasal implants, etc.
At the end of the open rhinoplasty, the surgeon places a thin suture material on the incision area: the delicate work with the incision allows you to get an invisible scar. In the nasal passages are placed turundas (removed the next day), a strong plaster bandage is placed (the doctor will remove it in 10-11 days).
Thus, the only and temporarily visible part of the incision in open rhinoplasty is the columella area. The cut shines and in a few months becomes invisible.
Rehabilitation after open rhinoplasty
The first 1-2 days after open rhinoplasty you will be in the clinic hospital.
You can assess the primary result of open rhinoplasty after cast removal, but the nose will still look swollen. The picture will be clearer for 1. 5 months from surgery. At least two months after open rhinoplasty, you should give up the sport. Contact sports (boxing, wrestling) can start no earlier than after 6 months: the nose after open rhinoplasty requires careful treatment and complete exclusion of even minimal injuries.
For a period of two months after open rhinoplasty, you should forget about the sauna, steam bath and wearing glasses.