A Rhinoplasty is an operation to improve the appearance of the nose. It can also be used to improve breathing. A successful Rhinoplasty requires careful preoperative planning. Each part of the nose, including the dorsum (or “bridge” of the nose), the tip, the nostrils and their relationship and proportions to each other must be carefully analyzed. The effect that a manipulation of one part will have on the appearance of another must be predicted and calculated. Rhinoplasty is truly a combination of art and science.
A rhinoplasty can be performed in one of two ways. Our preferred approach is the “Closed” approach. Another approach is referred to as the “Open” approach. Both are valuable techniques. Each has its advantages and disadvantages. The choice of which approach to use depends on the findings during an examination. Ultimately, the goal is to create a natural and aesthetically pleasing and balanced result.
A “Closed” approach refers to a technique of Rhinoplasty in which no external incisions are made. All incisions are made within the nose. The advantage of this approach is that no external scars are created. All scars remain hidden with this technique. This is our preferred method of Rhinoplasty.
Most people seeking Rhinoplasty will be good candidates for the closed approach. This is because most individuals will have great improvement in the appearance of their nose with changes to the dorsum (“bridge”) of the nose, and minor changes to the tip of the nose. The closed approach is successful in treating these areas.
The closed approach can also be used to treat minor breathing difficulties.
If an individual needs major revision of the tip of the nose, more complex manuevers to the dorsum of the nose, or has major breathing difficulties, the “Open” approach is a better option.
An “Open” approach refers to a technique in which a small incision is made across the “Columella” (which is the small bridge of tissue between the nostrils leading up to the tip of the nose). The incision is designed so that when it heals, it is inconspicuous. Furthermore, when someone is being viewed at eye level, this part of the nose and the scar are generally not visible.
The open approach is preferred when major changes to the tip of the nose are needed. It is also useful when complex work needs to be done to the dorsum, or “bridge” of the nose. In addition, if a patient has major breathing difficulties, the open approach will be a better technique to use.
The choice of technique will depend on what is found on a careful examination. A thorough discussion of each technique will be conducted during the consultation.