Open and closed rhinoplasty
Blog What Is the Difference Between Open and Closed Rhinoplasty? – Rhinoplasty Surgeries The difference between open and closed rhinoplasty does not affect the pre-operative examinations required. It is crucial to follow your doctor’s advice on this matter and to complete the requested tests. Now, since we’ve mentioned the difference between open and closed rhinoplasty, let’s also take a look at the necessary pre-operative examinations Blood Tests FBS (Fasting Blood Sugar): Checks blood sugar levels. CBC.diff (Complete Blood Count): Used to diagnose anemia. PT & PTT: Evaluates bleeding or clotting risks. HIV and Hepatitis: Screens for the presence of these infections. Addiional Tests EKG: Identifies heart rhythm and potential heart attacks, especially for patients over 40. β-HCG (Pregnancy Test): Checks for pregnancy. Chest X-ray: Assesses lung condition for smokers or those with respiratory issues. CT Scan: Detects sinus infections, polyps, or a deviated septum. Although the techniques used in open and closed rhinoplasty differ, the preparation stages are applicable to both surgeries. Before open and closed rhinoplasty, alcohol consumption should be stopped, and attention should be paid to this for at least 2 weeks in advance. Like alcohol, smoking is also harmful to your health, and nicotine intake should be ceased at least 4 weeks before the surgery. Smoking is allowed again 10-15 days after the surgery. Your body needs rest before the surgery, so it’s important to ensure you get enough rest. Entering surgery with a well-rested body will help you recover and regain your health more quickly. Another important consideration is skin cleanliness. Washing your face twice a day before the surgery will cleanse it of dead cells. Since washing your face 2-3 days after the surgery does not yield good results, it is essential to take a shower the day before the surgery The Difference Between Open and Closed Rhinoplasty Does Not Change The Risk of Bleeding The risk of bleeding can occur in both open and closed rhinoplasty techniques. Since both techniques involve surgical procedures, they carry a risk of bleeding. However, managing these risks depends on the surgeon’s experience and the pre-operative preparations. Consumption of gas-producing foods such as herbal teas, broccoli, milk, and legumes should be reduced. The intake of blood-thinning medications like Aspirin and Ibuprofen, as well as Vitamin C, should also be stopped. Naproxen (Aleve): Increases the risk of bleeding by thinning the blood. Other NSAIDs: Medications such as Diclofenac (Voltaren) and Ketoprofen also have blood-thinning effects. By paying attention to these points, you can ensure that both your open and closed rhinoplasty surgeries are safer and more successful The Difference Between Open and Closed Rhinoplasty – Characteristics of Open Rhinoplasty Open rhinoplasty is a nasal surgery technique performed with a small incision between the nostrils. In this technique, the skin is lifted to reveal the underlying structures, hence the name open rhinoplasty. Additionally, open rhinoplasty can be combined with dorsal preservation techniques. The modern open rhinoplasty approach emphasizes the preservation of cartilage and gradual modifications to the cartilage and bone structure. Some disadvantages of the open approach are: Increased risk of swelling Longer surgical time Destabilization of the cartilaginous structure External scar However, the majority of patients (98%) are not bothered by this external rhinoplasty scar, and 90% describe these scars as invisible or nearly imperceptible. Additionally, for patients concerned about stitch removal, the surgeon can use rapidly dissolving stitches to minimize discomfort. Advantages of Open Rhinoplasty Visibility of Internal Tissues: The biggest advantage of performing open rhinoplasty is that it allows the surgeon to access the nasal anatomy beneath the skin. This enables more precise and accurate changes to the shape of the nose. Structures can be modified rather than just removed. In many patients, cartilage asymmetries can only be seen through open rhinoplasty. Better Preservation of Structural Support: The shape of the underlying cartilages can be altered with stitches, small incisions in the cartilage, and the precise placement of cartilage grafts if needed. This helps in preserving cartilage and enhancing structural support. Reduced Risk of Estimation Errors: In closed rhinoplasty, the surgeon works from within the nose, which may require estimating some structural changes. Open rhinoplasty reduces the risk of these estimation errors. Opportunity for Detailed Corrections: It offers the ability to make more detailed and refined adjustments to the nasal cartilage and bone structure. This is a significant advantage, especially in complex cases. Possible Disadvantages of Closed Rhinoplasty Surgery Breathing Difficulties: After closed rhinoplasty, some patients may experience difficulty breathing. This can be due to structural changes inside the nose or swelling. Nosebleeds: Nosebleeds may occur after closed rhinoplasty. This usually happens within the first few days after surgery and often resolves on its own. Numbness in the Nose: After closed rhinoplasty, there may be a feeling of numbness in the nose and surrounding area. This could be due to nerve damage and may be permanent in some patients. Asymmetric Nose: Asymmetry in the nose may occur after closed rhinoplasty. This can be a result of the nature of the surgical intervention and may not be aesthetically satisfying. Scars: Although there are no noticeable external scars in closed rhinoplasty, internal incisions can leave scars as they heal, which may be bothersome. Allergic Reaction to Anesthesia: Some patients may develop an allergic reaction to the anesthetic agents used during closed rhinoplasty. This can lead to serious complications and may require emergency intervention. Prolonged Bruising: Prolonged bruising around the face and nose may occur after closed rhinoplasty. This can negatively impact the patient’s social and professional life. The Difference Between Open and Closed Rhinoplasty The difference between open and closed rhinoplasty stems from the technical aspects of the surgeries. The decision on which type of surgery to choose is based on the patient’s needs. If there are nasal deviations, open surgery is preferred. In cases where the nose is straight and there are no breathing issues, closed surgery, which also has a quicker recovery time, is recommended. The ligaments, where the nasal skin adheres, are kept intact.