Types of Rhinoplasty
Closed rhinoplasty is the most popular choice for doctors and patients alike since the incisions made by the plastic surgeon are all hidden away inside the nose, leaving the patient with no external scars. Once the necessary incisions are made, the soft tissue of the nose is lifted, leaving the doctor with access to the cartilage and bone. Changes are then done to the nose according to the patient’s wishes. From this point onward, a closed rhinoplasty is very much similar to an open one, but a closed rhinoplasty offers certain advantages in comparison to other types, such as:
- Faster and easier recovery period for the patient once the procedure is done
- The surgery itself takes less time than other types of rhinoplasty
- Less visible scarring for the patient after the recovery period
- Less chance of swelling
- Less chance of post-op nasal irritation
Patients who require extensive changes to their nose may opt for an open rhinoplasty Your plastic surgeon will decide if this is the best option for you, depending on your wishes and expectations from the procedure. Open rhinoplasty requires an incision in the columella – the skin area between the nostrils, just underneath the nose itself. This incision allows the doctor to lift the skin and reveal the cartilage and bone inside the nasal cavity, adding or removing tissue as necessary. While some surgeons will recommend an open rhinoplasty from the start, certain doctors will only use this technique in certain cases such as revision surgery or extensive changes to the nose. Most of the time, the best candidates for open rhinoplasty include patients with one or more of the following:
- Severe deformities in the nose caused by trauma
- Structural or genetic deformities of the nose
- Dissatisfaction with previous nose surgery procedures
- Collapsed valves from nose hump removal
Filler rhinoplasty or injection rhinoplasty is a relatively new non-surgical technique which uses injectable fillers to correct and improve the appearance of the nose. Since it doesn’t require any incisions, this procedure can be performed by a wide range of specialists, including general plastic surgeons, cosmetic surgeons, assistants as well as dermatologists. The biggest disadvantage of filler rhinoplasty is the fact that the results are not permanent and patients will be required to make another visit to the doctor in a few months. Although rare, fillers can also produce scarring within the skin.
Revision rhinoplasty refers to opting for another nose job surgery after patients were dissatisfied with the results of their primary rhinoplasty or seek other changes not originally mentioned during the first rhinoplasty. Most patients have another rhinoplasty performed for minor touch ups such as irregularities or bums on the nose bridge while other patients may opt for this procedure due to breathing problems. All established plastic surgeons have a revision rate – if a certain doctor doesn’t have a revision rate or has a very low one, it’s due to patients opting for another doctor for their revision. The average rhinoplasty revision rate is between 10 and 15%.
This content is written and reviewed by our medical content team in January, 2019.