When preparing for plastic surgery, patients ask themselves the question: 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 both are in the same demand. The choice of the method of surgery for a particular patient is determined individually and depends on many factors, such as:
- nature of nasal defects. If a large amount of intervention is planned, or if the correction requires the installation of implants, sawing of the bones of the nose, it is better to use open rhinoplasty, which implies greater visualization of the surgical field and the visibility of even small structural . items.
- surgeon rating. Closed access is not for all specialists. The surgeon requires extensive experience in performing rhinoplasty, impeccable knowledge of the internal anatomical structures.
- characteristics of the previous operation. Reoperation is usually done using the open rhinoplasty technique, as it is extremely important for the doctor to see all the nuances of the previous intervention.
In the consultation at the clinic, the specialists take into account your wishes regarding the operation, however, the final decision on whether to perform an open or closed rhinoplasty is made by the doctor, based on the individual characteristics and indications of the patient.
Indications and contraindications of open rhinoplasty
Indications for open rhinoplasty
The indications for open rhinoplasty are the same as for any rhinoplasty:
- back of nose high, wide and flat;
- asymmetry;
- subsidence and irregularities;
- nose tip rounded, low or too high.
Contraindications for open rhinoplasty
- age up to 18 years (the process of tissue formation is not over yet);
- inflammatory otorhinolaryngological diseases;
- herpes in the active phase;
- decompensated diabetes mellitus;
- blood clotting disorder;
- menstruation.
Open Rhinoplasty Procedure
Open rhinoplasty is performed under general anesthesia. Previously, the patient must pass the tests prescribed by the surgeon.
Open rhinoplasty provides a complete visualization of the operation process: the surgeon has the opportunity to examine all the structures of the nose in detail. 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 to 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 framework of the nose. Now the doctor has the opportunity to examine all the anatomical components in detail, assess the state 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 cartilage, bone, install special nasal implants, etc.
At the end of open rhinoplasty, the surgeon applies a thin suture material to the incision area - delicate work with the incision allows you to get an imperceptible scar. Turundas are installed in the nostrils (they are removed the next day), a hard plaster bandage is applied (the doctor will remove it for 10-11 days).
Therefore, the only temporarily visible part of the incision in open rhinoplasty is the columella area. The incision lights up and in a few months it 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 main result of open rhinoplasty after the cast is removed, but the nose will still look swollen. The image will be clearer 1. 5 months after surgery. At least two months after open rhinoplasty, you should give up sports. Contact sports (boxing, wrestling) can be started no earlier than 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 sauna, steam room and wearing glasses.