External IncisionOpen rhinoplasty, as the name suggests, will involve an external incision made in the columella, which is the thin, vertical strip dividing the nostrils. Through this incision, the surgeon will gently lift off the nasal skin and soft tissue to gain access to the underlying nose structures. More invasive but precise corrections can be performed with open rhinoplasty plastic surgery technique because the nasal anatomy will be openly visible. A judicious and practiced nose surgeon will ensure that the external incision is placed as inconspicuously as possible and connect it with other incisions that are concealed inside the nose. Surgical manipulation can be performed effectively and nose cartilage can be reshaped as needed through this incision using advanced surgical tools.
AdvantagesSupporters of open rhinoplasty technique emphasize that it provides a better visualization of the underlying nasal structures and creates a more direct route for surgical corrections due to the fully open nose. This allows the surgeon to create more dramatic improvements in a precise manner, leading to enhanced facial harmony and a very desirable shape of nose. Some amount of scar tissue will occur outside the nose because of the external incision, but a skilled surgeon can keep the scarring discreet and confine the incision to the base of the nose. In most cases, the final scar will be barely visible once the nose has fully healed. Advanced surgical techniques have made even open rhinoplasty a relatively less invasive procedure than before. Now surgeons utilize highly powerful surgical tools to make very precise alterations to the bone and cartilage. Minimal disruption to the surrounding tissue occurs with these high precision devices. The surgeon can usually repair a nasal injury or improve a deviated septum without having to re-fracture the nose.
What can Open Rhinoplasty do?Significant modifications to the size, shape and overall nasal appearance can be achieved with open rhinoplasty. In some cases, the surgeon may perform this technique in combination with chin implants to improve facial balance. Open rhinoplasty can help create the following corrections:
- Narrowing of the nose bridge
- Reshaping of the nostrils
- Refining of the nose tip
- Straightening of a crooked nose
- Increasing or reducing the nose size
- Correcting the angle between the nose and the upper lips
- Addressing breathing obstruction in the nostrils
- Reconstructing the nose
- Performing a revision nose surgery