Rhinoplasty can be defined as an aesthetic operation performed to improve the cosmetic appearance of the nose. If curvature of the nasal bones is diagnosed during the examinations performed before rhinoplasty, nasal curvature surgery (septoplasty) and rhinoplasty can be performed simultaneously. With simultaneous rhinoplasty and septoplasty, changes can be made not only in the nasal bone, cartilage and skin layer, but also in all three. With rhinoplasty, one of the most common types of plastic surgery, the bone and cartilage tissue in the nose can be reshaped and given a new appearance. Rhinoplasty, which can be applied to repair deformities in the nose, correct birth defects, or because the person is not satisfied with the appearance of the nose, is a surgical procedure that can be performed with open and closed techniques.
What is Open Rhinoplasty?
Open rhinoplasty is nasal aesthetic surgery using the open technique. Open rhinoplasty is generally applied to patients who have nasal curvature, asymmetry, nasal tip deformity and breathing problems. This is because open rhinoplasty provides the surgeon with a wider field of view. At the same time, the open technique is considered to be a more suitable technique within the scope of secondary rhinoplasty in patients who have previously undergone rhinoplasty.
Open rhinoplasty is performed with incisions made on the inside of the nose and a small incision along the columella. Thanks to the incisions, the surgeon can clearly see the subcutaneous tissues and reach all soft tissues. However, since there is more dissection in open rhinoplasty, there is potentially a longer operative time and a comparingly longer recovery period.
Who Is Suitable For Open Rhinoplasty?
People who will undergo open rhinoplasty surgery must first have completed the development of their nasal bones and cartilage. Open rhinoplasty surgery can be applied to people who are not satisfied with their nose or have deformities that affect their facial expressions.
Open rhinoplasty surgery can be performed on people with advanced deformation due to the advantage of the surgeon's wide viewing angle. Open rhinoplasty surgery is especially applied to patients with curvature, arch, severe deformity and bone shift in the nasal cartilage tissue. In addition, open technique is preferred in revision rhinoplasty applied to patients with unsuccessful results at the end of the first rhinoplasty surgery.
It should be noted that the person who will undergo open rhinoplasty surgery has realistic expectations about the surgery. Before the operation, the patient should be informed in detail about the outcome of the operation.
How is Open Rhinoplasty Performed?
General anesthesia is applied to the patient before open rhinoplasty surgery. After an incision is made along the columella, the skin is lifted from the tip of the nose. This allows the surgeon to precisely shape the cartilage. After the necessary changes are made, the skin is placed on the new contours of the nose and the incisions are closed. A splint, gauze or tampon is placed to help the nose maintain its new shape. In this method, which allows the surgeon to access a larger part of the cartilage and nasal bone, some scarring is possible in the nose.
Before Open Rhinoplasty Surgery
Before open rhinoplasty surgery, the patient should be examined in detail and information should be obtained about the general health status, complaints and expectations. In order to obtain a nose compatible with the person's facial structure after the rhinoplasty surgery, the patient's facial analysis should be performed and a personalized nose planning should be performed accordingly. As a result of the evaluations, the most accurate technique to be applied for the patient should be determined.
The patient should stop using aspirin and similar blood thinners, alcohol and cigarettes for a certain period of time before the operation.
Recovery Process After Open Rhinoplasty Surgery
Edema, pain and bruising are considered normal after open rhinoplasty surgery. The pain is at a level that can be controlled with the use of simple painkillers prescribed by the doctor. Edema and bruises resolve spontaneously in about 7-10 days. However, it should be noted that the healing process may vary from person to person.
The incision made during the surgery heals almost imperceptibly in about 1.5-2 months. For a fast and healthy recovery period, heavy sports and heavy lifting should be avoided for 1 month. Do not enter the sea and the pool, care should be taken to protect the nose against impacts. Glasses should not be used for at least 3 months and sunscreen creams should not be neglected when going out in the sun. Alcohol and cigarettes should not be consumed for a while due to the delaying effect of wound healing.
Frequently Asked Questions About Open Rhinoplasty
Can open rhinoplasty be applied to every patient?
Not every technique can be applied to every patient. Which technique will be applied is determined for the patient after the examination.
Will there be any scars after open rhinoplasty?
Since a 2-3 mm incision is made at the tip of the nose, a scar may remain. However, as it becomes vague over time, it will lose its clarity.
How long does open rhinoplasty surgery take?
It takes an average of 2-2.5 hours. However, the duration may be extended depending on the scope of the procedure applied for the individual.
When can I return to work after open rhinoplasty?
Generally, patients can return to work within a week.