When preparing for plastic surgery, patients ask themselves the question: which is better - open or closed rhinoplasty? In fact, there is no right answer to this question. There are, of course, fundamental differences between the two methods, but both are similar in demand. The choice of surgical method for a particular patient is determined individually and depends on many factors, such as:
- nature of nasal defects. If a large number of interventions are planned, or if correction requires implant installation, sawing the nasal bone, it is best to use open rhinoplasty, which involves greater visualization of the surgical field and vision of even small structures. element.
- surgeon qualifications. Closed access is not for every expert. Surgeons require extensive experience in performing rhinoplasty, a perfect knowledge of the internal structure of the anatomy.
- characteristics of previous operations. Reoperation is usually performed using the open rhinoplasty technique, as it is very important for the doctor to see all the nuances of the previous intervention.
At the consultation at the clinic, the specialist takes into account your wishes about the operation, however, 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:
- back of nose high, wide, flat;
- asymmetry;
- decline and deviation;
- the tip of the nose is rounded, lowered or overly raised.
Contraindications to open rhinoplasty
- age up to 18 years (the process of tissue formation is not over);
- ENT inflammatory disease;
- herpes in the active phase;
- decompensated diabetes mellitus;
- blood clotting disorders;
- menstrual cramps.
The procedure for open rhinoplasty
Open rhinoplasty is performed under general anesthesia. Prior to this, the patient must pass a test prescribed by a surgeon.
Open rhinoplasty provides a complete visualization of the surgical process: the surgeon has the opportunity to examine in detail all the structures of the nose. During correction, the surgeon makes an incision at the base of the columella (the area of skin between the nostrils). Next, small slices are 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 nasal cartilage skeleton. Now the doctor has the opportunity to examine in detail all the anatomical components, assess the structural condition of the cartilage and bone parts and give them the necessary design. During open rhinoplasty surgery, the doctor can remove and move parts of the cartilage, bone, install special nasal implants, etc.
At the end of an open rhinoplasty, the surgeon applies a thin suture material to the incision area: fine work with the incision allows you to get an invisible scar. Turundas is installed in the nasal passages (it is removed the next day), a hard plaster bandage is applied (the doctor will remove it for 10-11 days).
Therefore, the only part of the incision that can be seen temporarily in open rhinoplasty is the columella zone. The incision is bright, and in a few months becomes invisible.
Recovery after open rhinoplasty
The first 1-2 days after open rhinoplasty you will be in a clinic hospital.
You can evaluate the main results of open rhinoplasty after removing the cast plaster, but the nose will still look swollen. The picture will become clearer in 1. 5 months after surgery. At least two months after open rhinoplasty, you must stop exercising. Contact sports (boxing, wrestling) can be started no earlier than after 6 months: the nose after open rhinoplasty requires careful treatment and complete exclusion even with minimal injury.
For a period of two months after open rhinoplasty, you should forget about saunas, steam baths and wearing glasses.