What is an Open Rhinoplasty VS. Closed Rhinoplasty

posted on:
June 16th, 2022
posted by:
Dr. Mulholland

Rhinoplasty is one of the most popular types of cosmetic plastic surgery available on the market today, consistently reigning within the top-five procedures performed annually among both men and women.

Rhinoplasty can transform a person’s entire face, improving both its symmetry and overall aesthetic.

One of the things that makes rhinoplasty so popular is how customizable and personal each of the procedures is. No two noses are the same, and thus no two rhinoplasty procedures are ever fully the same either. There are even multiple types of rhinoplasty to further the customization of the procedure, such as open rhinoplasty and closed rhinoplasty.

In this blog, we will take a further look into many open vs closed rhinoplasty and answer questions, such as “how does closed rhinoplasty work,” “what is open rhinoplasty,” and “what is the recovery like for both”. Here’s what to know:

What is Closed Rhinoplasty?

Closed rhinoplasty is when the surgical procedure utilizes an internal technique to manipulate the cartilage and tissues within the nose without making any external incisions.

This is a very popular form of rhinoplasty as individuals often worry that open rhinoplasty will result in visible scarring upon the face, though in actuality, any scarring of open rhinoplasty results is usually very discreet and not noticeable.

What is Open Rhinoplasty?

Open rhinoplasty uses the same incisions as closed rhinoplasty but also allows the surgeon to make incisions on the outside of the nose.

Benefits of Closed Rhinoplasty

Closed rhinoplasty has the advantage of being a more minimal and less invasive form of rhinoplasty. As fewer incisions are made, closed rhinoplasty recovery is often less intense and features a shorter turnaround time to being fully healed when directly comparing open vs closed rhinoplasty recovery. A short-term advantage of closed rhinoplasty in Toronto is that any swelling and bruising immediately following the procedure is also more likely to be minimized than that of open rhinoplasty. The closed rhinoplasty cost is often cheaper as well, as less external work is needed.

Disadvantages of Closed Rhinoplasty

While closed rhinoplasty results are a great option for those only needing minor alterations to help achieve their surgical goals, the reality is that closed rhinoplasty cannot offer the amount of manipulation that open rhinoplasty does. For example, if a patient desires to change the size of the nasal tip or more significantly alter the shape of their nose, then they are better suited for open rhinoplasty.

Benefits of Open Rhinoplasty

By gaining the ability to further manipulate the nose using an external incision, open rhinoplasty can do far more customization to the nose shapes, allowing for any changes a patient requires with further ease.

Precision and accuracy are vital during rhinoplasty, as it is both a fragile area to work in, but also the nose is one of your primary sources of airflow; thus, keeping the nasal passageways intact is critically important. Open rhinoplasty allows surgeons to see within the anatomy of the patient’s nose more easily to ensure the highest accuracy levels are achieved.

Disadvantages of Open Rhinoplasty

When comparing open vs closed rhinoplasty recovery, open rhinoplasty uses further incisions and work, which results in it being a slightly more extensive recovery. Bruising, swelling, and recovery time will all be more than closed rhinoplasty in Toronto. Additionally, there will be some (very discreet) scarring on the outside of the nose, typically hidden in the shadows and creases of the nose. Open rhinoplasty cos can also be higher than closed, as it requires additional work to achieve its results.

How Long Is Recovery for Both?

While an individual’s recovery time will vary depending from person to person, In general, closed rhinoplasty recovery takes anywhere between one to two weeks. Open rhinoplasty can take a little longer to heal swelling and bruising, but overall the recovery period is not much more than closed.

What is Septoplasty?

Septoplasty is a form of rhinoplasty that helps to treat many kinds of nose breathing problems, such as a deviated septum.

A deviated septum is when the wall of bone and cartilage inside your nose leans or bends to one side, causing a blockage that can disrupt the even flow of air between the nasal passageways.

While many deviated septum’s never required treatment, others can create problems such as breathing troubles, chronic nose bleeds, headaches, sleep apnea, regular nasal infections, and more.

Depending on the severity of the deviation, septoplasty can be performed as both closed and open rhinoplasty, as more minimal deviations may only require internal surgical work, where bigger bumps, bends, and nose reshaping may require an open technique.

In general, septoplasty does not change the appearance of a person’s nose, but a large portion of patients often opt for cosmetic rhinoplasty to take place at the same time as the septoplasty, considering the surgical work on the nose will already be taking place anyways.

If a breathing problem has been diagnosed by your doctor and you’ve been recommended septoplasty, it will often be covered by health insurance, but note that any purely aesthetic work will be unlikely to be covered.

What Is Male Rhinoplasty?

Cosmetic surgery for men is more popular than ever before to help improve their confidence, and male rhinoplasty is no exception. While the goal for many women’s rhinoplasty is to make the nose more slender, round, and “cute,” the goal of men’s rhinoplasty is often to create a more masculine appearance.

Typically these results are achieved by straightening the nose from any bends or bumps and broadening the bridge, allowing for a more chiselled and angular appearance that many consider masculine.

Sleeping after Rhinoplasty

Rest is essential when recovering from any form of surgery. Sleep allows your brain to perform fewer alternative functions, so it can better focus on your recovery from the procedure. Rest helps fight off infection, speed up recovery, and further filter out any residual anesthesia following surgery. Blood flow is also increased during this time, which helps with oxygen and nutrients to the surgical area.

Some may find sleeping after rhinoplasty to be somewhat challenging at first, as it is important that you do not press into the nose or remain parallel for an extended period.

The best position for sleeping after rhinoplasty is on your back, at an elevated include of about two to three pillows. Sleeping at this elevated position helps to reduce swelling and pooling of any fluids in the face.

To better ensure you don’t toss and turn through the night and roll onto your nose, it is recommended to use a neck pillow or prop yourself on either side using pillows or rolled-up blankets.

It is also recommended you sleep alone for at least the first few days, as an accidental bump from a partner or pet can be both painful and hurt your healing process.

Revision Rhinoplasty

While the overwhelming majority of nose jobs are a success, there are those who may desire to seek out a correction to a previous procedure. Our clinic is able to perform revision rhinoplasty on those looking to correct older work or are just unhappy with their last procedure. It is recombed a patient wait one to two years after their initial procedure before coming to us for revision rhinoplasty, as it can take that long for all the internal tissues to fully recover and fall into their final position.

Toronto Plastic Surgeons

Our team at Toronto Plastic Surgeons has some of the best rhinoplasty surgeons to perform your procedure. You can trust that your rhinoplasty procedure will be performed with the highest levels of professionalism.

If you are seeking a nose job in Toronto, whether it be open rhinoplasty or closed rhinoplasty, we can help. Don’t hesitate to call us at 647-723-3739 or schedule a consultation with us online. Our dedicated team will help you find the rhinoplasty procedure best for you!

Posted by:

Dr. Stephen Mulholland, Md

Dr. Stephen Mulholland has been practicing plastic surgery for over 20 years. He is one of Canada’s most renowned and best plastic surgeons in Toronto with his wealth of experience, artistry, and humbleness towards his patients.

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