Open Rhinoplasty

Open Rhinoplasty

Open rhinoplasty is a popular and effective surgical procedure used to alter the shape of the nose. It has become a go-to option for many plastic surgeons and patients, offering improved results and fewer post-operative complications. This article will explore the benefits of open rhinoplasty, detailing its advantages over other forms of nasal surgery.

Open rhinoplasty is an advanced technique used to reshape the nose in order to achieve desired aesthetic results. The procedure involves making an incision on the columella (the strip of tissue between the nostrils) so that changes can be made to the cartilage and bone structure of the nose without compromising its natural support system. During an open rhinoplasty, the surgeon has direct access to these structures, allowing them to reshape them with precision and accuracy.

Open rhinoplasty offers advantages over traditional closed techniques; most notably, it allows for more complex alterations while still preserving functionality and reducing scarring. Additionally, open rhinoplasty allows surgeons to more accurately assess airway obstruction during surgery, ensuring better breathing outcomes post-operatively. In this article, we’ll discuss these benefits in more detail, as well as risks associated with open rhinoplasty.


Open rhinoplasty is a type of plastic surgery procedure used to correct the shape and size of the nose. It’s performed by making incisions on the outside of the nose, allowing access to the underlying bone and cartilage. This approach allows for more precise correction of nasal deformities compared to closed rhinoplasty, which makes all incisions inside the nose.

During open rhinoplasty, an incision is made along the columella, where the nostrils meet at the bottom of your nose. Depending on what needs to be corrected, additional cuts may be made around this area and up into your nasal bridge. The skin is then lifted, exposing all of the internal structures that need to be reshaped or removed. A surgeon can then make any necessary corrections before repositioning and suturing skin back in place.

The advantages of open rhinoplasty include improved accuracy for correcting structural abnormalities as well better control over soft tissue changes such as reduction in nostril size or tip refinement. Furthermore, it allows for better visualization during surgery which can help avoid complications like visible scars or asymmetry.

Benefits Of Open Rhinoplasty

Open rhinoplasty is a type of cosmetic facial surgery that can help patients improve the shape and size of their nose. The benefits of open rhinoplasty are numerous, and include improved definition, improved breathing capabilities, and improved facial balance.

The open technique is a popular choice because it allows the surgeon to precisely access the nasal structures from outside the nose. This approach gives surgeons greater control over reshaping the cartilage and bone of the nose, providing a more refined result than when using closed techniques. Open rhinoplasty also offers an expanded view of the patient’s anatomy to allow for better planning of any necessary revisions.

Patients who opt for open rhinoplasty typically benefit from improved definition, enhanced breathing capabilities, and better facial balance. The procedure can be used to correct a range of aesthetic issues such as a crooked or overly long nose, a bulbous tip, or a wide bridge. Additionally, this procedure can provide relief from nasal obstruction due to deviated septum or enlarged turbinates by correcting any structural irregularities in the nasal passageways.

Overall, open rhinoplasty is an effective way to improve both aesthetic outcomes and nasal function simultaneously; however, it is important that patients discuss its risks with their surgeon prior to undergoing treatment.

Risks Of Open Rhinoplasty

Open rhinoplasty carries certain risks, just like any other type of surgery. Patients should be aware that there is always a risk of infection, bleeding, scarring, and adverse reaction to anesthesia. It is important to discuss these risks with your doctor so that you can make an informed decision about the procedure.

The most serious complication associated with open rhinoplasty is septal perforation. This occurs when the surgeon accidentally cuts through the thin membrane separating the nostrils. A perforated septum can cause difficulty breathing and complications in healing, as well as impairing the appearance of the nose.

Patients with open rhinoplasty may also experience temporary numbness or swelling in their noses due to nerve damage, although this usually resolves within a few weeks. In rare cases, patients may suffer from persistent numbness or even loss of sensation in parts of their nose due to severe nerve damage. To minimize any potential risks associated with open rhinoplasty, it is important to follow all pre-operative and post-operative instructions given by your doctor closely.

Procedure Overview

Having discussed the risks of open rhinoplasty, we now turn to the procedure overview. Open rhinoplasty is a surgical procedure that reshapes the nose by removing or repositioning cartilage and bone from within the nose. It is used to correct deformities, narrow wide nostrils, reduce the size of a large nose, and/or improve breathing.

The surgeon begins by making an incision across the columella, which is located between the two nostrils. The skin and tissue covering the underlying cartilage and bone are then lifted away in order to gain access to these structures. The surgeon may then remove excess tissue (such as cartilage) or add tissue (such as grafts) in order to reshape the nose. Once they are satisfied with their adjustments, they will re-drape the skin over the new structure of your nose and close any incisions made.

Recovery time varies depending on individual circumstances but usually takes around 2 – 3 weeks before swelling subsides enough for you to see your new look. During this healing period it is important to keep contact sports out of your routine as this can cause further damage and delay healing times significantly. Following your recovery period you should be able to enjoy your new look!

Preparation For Surgery

Prior to surgery, patients should be briefed on what to expect throughout the course of their open rhinoplasty. A thorough medical history and physical exam should be completed to ensure the patient is an appropriate candidate for this procedure. Additionally, the patient’s goals for the results of surgery should be discussed with their surgeon prior to the day of surgery.

Patients should also prepare for their open rhinoplasty by avoiding any blood-thinning medications for several days before surgery. These include aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs). Smoking or drinking alcohol should also be avoided in the weeks leading up to surgery, as these can impair healing.

On the day of surgery, patients should arrange for someone to drive them home after their procedure is complete. They will likely need a few days of rest afterwards and will need assistance during that time if they are feeling weak or are in pain. It is important that they follow all pre- and post-operative instructions given by their surgeon in order to ensure optimal results.

Post-Surgery Expectations

Immediately following open rhinoplasty, patients may experience mild to moderate swelling and bruising around the nose and eyes. These symptoms are normal and should subside within the first week post-surgery. During this time, it is important to keep the head elevated and take pain relievers as needed.

The patient’s doctor will provide them with explicit instructions on how to care for their nose after surgery. This includes washing their face gently with lukewarm water, using a saline nasal spray or ointment, avoiding activities that require bending over or straining, refraining from blowing their nose, and avoiding the sun and hot tubs.

It is also important to follow up with your doctor in the weeks following your procedure. Your doctor will assess your healing progress and discuss any additional steps you may need to take for optimal recovery.

Recovery Process And Timeline

After undergoing open rhinoplasty, patients can expect a lengthy recovery process and timeline. The recovery period is typically divided into two stages: the immediate post-operative period and the long-term healing phase. During the initial post-operative stage, it’s important for patients to follow proper care instructions from their surgeon to aid in healing and reduce risk of infection.

Immediately after surgery, patients will experience swelling, bruising, and some discomfort which can be controlled with pain medications prescribed by the doctor. After 48 hours, the external splint on the nose may be removed. Patients may also have packing inside their nose or splints to keep their septum in place during healing. Typically these are removed within 1-2 weeks after surgery.

It is not uncommon for there to be some residual swelling that can persist up to 6 months after surgery. During this time of recovery it is important for patients to avoid strenuous activities and give their body time to heal properly. It may take several weeks before they feel comfortable resuming normal activities without any restrictions. Additionally, they should continue wearing sunscreen when outdoors as UV exposure can damage newly healed skin tissue more easily.

Results And Side Effects

Results of open rhinoplasty can vary greatly depending on the individual. Generally, the results will be noticeable almost immediately after surgery and continue to improve over the course of several months. The final results are usually visible after a year or so. In most cases, people who have undergone open rhinoplasty will experience improved facial proportion and symmetry, improved breathing, and enhanced self-esteem due to an improved appearance.

There are some potential risks associated with open rhinoplasty that should be considered before undergoing the procedure. These include bruising, swelling, pain, bleeding, infection and scarring. There is also a chance that the nose may not heal properly or that the desired results may not be achieved. Additionally, some patients may experience numbness in their upper lip area as a result of nerve damage during surgery.

Open rhinoplasty is generally considered to be safe and effective when performed by an experienced surgeon. However, it is important to discuss any potential risks with your doctor prior to undergoing surgery in order to ensure optimal safety and outcomes.

Cost Of Open Rhinoplasty

The cost of open rhinoplasty varies depending on the individual patient and their specific needs. Generally, the procedure will cost between $3,000 to $6,000, depending on the complexity of the procedure. This includes surgeon’s fees and anesthesia costs. Additional costs may include pre-operative laboratory tests, medications prescribed by your doctor, and follow-up visits. Insurance typically does not cover cosmetic surgery procedures such as open rhinoplasty.

It is important to discuss payment options with your doctor before having surgery. Many plastic surgeons offer financing plans that allow patients to spread out payments over time. It is also possible to pay for the entire procedure upfront or in installments prior to the surgery date. Additionally, some doctors may accept cash or credit cards for payment.

When considering cost for open rhinoplasty it is important to remember that this is an investment in your appearance and self-confidence. The results from open rhinoplasty can be dramatic and long lasting; however, it is important to have realistic expectations about what can be achieved surgically as well as what you are willing to spend on a cosmetic procedure like this one.

Alternatives To Open Rhinoplasty

Rhinoplasty is a complex procedure, and there are alternatives to open rhinoplasty that can be considered. Closed rhinoplasty offers some of the same benefits as open rhinoplasty, such as improved nasal shape and size. However, the incision is made inside the nostrils, so there is no visible scarring.

Endonasal rhinoplasty is another option. This method involves making small incisions inside the nose to access the underlying structures that need to be modified. Endonasal rhinoplasty can also be done under local anesthesia, instead of general anesthesia used in open rhinoplasty.

For more complex cases, there are hybrid techniques which involve both endonasal and open approaches. These techniques offer surgeons greater access to the underlying structures while minimizing external scars and allowing for more precise control of results. Ultimately, it’s up to your surgeon to determine which approach is best for you given your specific needs and goals for surgery.


Open rhinoplasty is an effective way to reshape the nose and improve the aesthetics of the face. It is one of the most common plastic surgery procedures today, and it has been proven to be safe, with minimal risk and side effects. However, it is important for individuals to understand their options before undergoing surgery. Open rhinoplasty can provide good results, but it’s essential for patients to discuss all alternatives with their surgeon in order to make a decision that works best for them.

Overall, open rhinoplasty can be a great choice for those seeking facial enhancement through plastic surgery. It carries potential risks and requires a recovery period; however, many patients are pleased with their results and find that they are worth the investment. If you’re considering open rhinoplasty as an option, speak with your doctor about any concerns you may have so that you can make an informed decision about whether or not it’s right for you.

Ultimately, open rhinoplasty can be a great choice for those who want to restore balance and symmetry to their facial features. By understanding the procedure and its benefits as well as potential risks and side effects, individuals can feel confident in making an informed decision about what works best for them.

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