subject: Rhinoplasty: Open Vs. Closed Procedure [print this page] Getting a rhinoplasty can fix any issues you have with your nose. Whether it has been broken several times and is now misshapen, or was simply never the shape you preferred, you can get it fixed. Learning about the different types of this procedure available may help you prepare for the surgery.
If you are worried about scarring, you might opt for the closed rhinoplasty. This type does not allow the surgeon the best access to the cartilage, but since any incisions are placed inside the nostrils, there is no chance of exterior scarring. There are still plenty of options, as the doctor can reshape the area this way, or even add or remove cartilage when necessary. In many cases, this surgery is sufficient.
Many doctors prefer to perform an open rhinoplasty because they have the most access to the cartilage within the nose. The surgeon will make an incision and push the skin on the end of the nose back and up. This allows a bit more freedom during the procedure, which is sometimes necessary for severe cases.
However, some patients would prefer not to go this route because it leaves a tiny scar on the tip of the nose, while the closed procedure leaves one inside only. Aside from the scar, it is typically unknown how much the area will tighten or contract during recovery.
Though you probably have your preferences, one thing to consider is whether your surgeon is comfortable with the procedure you want. Some surgeons are hesitant about operating on a closed nose because it demands a lot of dexterity, and they cannot always see as well as if it were open.
The important thing is to find a doctor who can perform the treatment you want. However, taking the advice of the doctor when it comes to the procedure that is best for you is important, as perhaps you need the type that you do not want.
No matter which type you choose, you can prepare for surgery the same way. The only difference you will notice is whether you have a scar or not. Otherwise, you will likely get general anesthesia for either one, so you probably will not even notice a difference between either surgery during the operation. In the end, you need decide which one you prefer, and then find a doctor who agrees that it is the best for you, and can perform it.
