Rhinoplasty is one of the most difficult cosmetic procedures to perform. This is because the nose is prominent, small and composed of an intricate and delicate structure. When it comes to the nose, every surgical move must be carefully planned so as to not disrupt the sensitive cartilage, tiny bones, nerves, skin, and tissues. These all come together to create the structures that make your nose unique.
This is why an experienced and well trained facial plastic surgeon is so important. Every rhinoplasty is custom-designed to deliver the results that specifically complement your unique nasal and facial features. Knowing what you want from rhinoplasty and understanding the ways a plastic surgeon may approach a rhinoplasty can be helpful to a successful outcome and pleasing results. Rhinoplasty, like any cosmetic surgery, should be a collaborative process between the doctor and patient.
Performing a Rhinoplasty With an Open or Closed Approach?
Rhinoplasty can be approached in two ways: open or closed. For an external (open) rhinoplasty, a very small incision is made on the underside of your nose between the nostrils. While this leaves a visible scar, it is minimized because the placement. This approach allows the surgeon to reveal the lower and middle-third nasal structures when the tip of the nose is opened.
The other approach is an endonasal (closed) rhinoplasty. It is termed this way because the incisions are confined inside the nostrils. After the incisions are made, the surgeon lifts the skin away from the underlying bone and cartilage to change the nasal contour and structure. This approach leaves no visible scars.
The closed or endonasal method can be further subdivided to a delivery and a non-delivery method. The delivery method has the tip cartilage delivered through the nostrils. This allows a clear view for the surgeon and an easier modification. The non-delivery method allows a rhinoplasty surgeon with the utmost of skill to modify the anatomy of the nose. This minimizes the amount of operation necessary, minimizing scarring and trauma, reducing recovery time, and creating an aesthetically pleasing, beautiful nose.
How Is One Approach Chosen Over Another?
For many years there was heated debate over which approach was superior. But now the consensus has been reached that each approach has its place. And one can be chosen over another depending on the needs of the patient. Though oftentimes the approach that is chosen comes down to the skill of the surgeon. Some doctors may perform all rhinoplasties with the open method, while others will perform all of their rhinoplasties with the closed approach.
A nose job requires artistry. It requires a dedicated surgeon with a true understanding of the nose’s anatomy and how it responds to surgery. This why a rhinoplasty surgeon often dedicates the majority, if not all, of his or her time and practice to the nose. It is actually less important which approach your doctor chooses, than is his or her skill and comfort with rhinoplasty operations. As the proper amount of skill allows a surgeon to consistently get the right results.
A doctor this skilled in their technique will be well versed in all of the available methods. And will thus be able to recommend the appropriate one to treat the aesthetic concerns while also alleviating any functional issues.
Schedule Your Rhinoplasty or Revision Rhinoplasty Consultation Today
Rhinoplasty is a delicate operation. Dr. Naderi takes the time to go over all of your options. With the latest digital computer imaging technology he can show you before and after pictures of yourself during the initial consultation. He also always encourages his patients to seek second opinions. This way all his patients can be completely comfortable with their decision.
Dr. Shervin Naderi, MD, is a Washington, D.C. metro area facial plastic surgeon. His practice FACS of the Naderi Center Rhinoplasty & Cosmetic Surgery has two offices conveniently located in Chevy Chase, MD (301-222-2020) and Herndon, VA (703 481-0002). The offices can also be reached by email. Our hours are 8 a.m. to 5 p.m, Monday through Friday.
He is board certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery. He is also a Fellow of the American Academy of Otolaryngology — Head and Neck Surgery, the American Academy of Facial Plastic and Reconstructive Surgery, and the American College of Surgeons. If you’re considering nasal cosmetic surgery, contact the Naderi Center Rhinoplasty & Cosmetic Surgery today.