WHAT DOES THE RHINOPLASTY PROCEDURE ENTAIL?
There are two types of rhinoplasty: closed and open. Both of these techniques can be highly effective, and we will utilize one over the other depending upon your nose’s shape and the results you are seeking. Because each procedure has different goals, there is no “right” rhinoplasty method when it comes to these two techniques. In general, a closed rhinoplasty is a slightly less invasive in that is does not require an incision on the columella. Below we will discuss each of them in more detail.
We will begin first with the closed rhinoplasty. This is our preferred method, as it does not leave any external scarring--Dr. Rice makes all of the incisions for a closed procedure on the inside of the nose. These internal entry points still allow us to gain access to the areas of the nose that need refinement, and can be highly effective at addressing a majority of cosmetic concerns. We also love this method because we prefer not to leave any visible scars, no matter how small, whenever we are able. Our guiding philosophy is to help you achieve your goals in the least-invasive way possible. With that said, because the closed technique is less invasive, there can be slightly less access to the nose, which means there are some issues that are better corrected with an open rhinoplasty procedure.
The open rhinoplasty is used for procedures that require more exposure for the necessary corrections, or procedures that are more extensive. The open rhinoplasty method allows full access to the entire nasal structure. This access is acquired by making an incision between the nostrils (across the columella), allowing direct visualization of both sides of the nose, which enables us to re-shape the structure by altering the nasal cartilage. This will leave a small scar that will be virtually unnoticeable after it heals.
Regardless of the method, tissues will be modified and/or grafted, cartilage will be altered, and your desired results will be achieved. Once the maneuvers are made to accomplish the desired result, the incisions are closed with dissolving sutures inside, and fine silk sutures at the columella. Last, a thermoplastic splint is placed over the nose to protect and support its new shape.