Rhinoplasty, or cosmetic surgery for noses, is perhaps one of the oldest and most popular forms of cosmetic surgery. Rhinoplasties can be either open or closed, and Dr. Parakh has extensive experience performing both procedures. Let’s look at what you can expect when visiting Dr. Parakh’s office for your rhinoplasty and the difference between open and closed rhinoplasties.
Before and After Surgery
On your first visit, you will have a detailed consultation with Dr. Parakh to determine your ideal nose shape. This consultation takes approximately one hour, during which time Dr. Parakh will use computer imaging technology to show you what your new nose could look like. The two of you will then discuss alterations that you’d like to make, which will be reflected on the computer imagining screen. From there, you can enter surgery with the confidence that you know what you’ve signed up for.
The surgery itself will take approximately one hour and, because Dr. Parakh doesn’t use packing, there should be minimal bruising and, at worst, light discomfort when you wake up. You’re then free to go home and, after 24 hours, can wash your hair without worry of irritating your nose. The cast will come off 3-5 days post-surgery, and, aside from avoiding extensive physical activity for a few weeks, you will be free to rejoin public life without worry within the week.
Now that you know what to expect at Dr. Parakh’s office, how can you tell if you want an open or closed rhinoplasty?
Open rhinoplasty is conducted through a “bridging” cut, where the incisions of the left and right nostril are connected. With this process, the nasal skin is easy to pull back and the surgeon has complete access to the structure of the nose.
This is the primary appeal of open rhinoplasty; the ease of access to all parts of the nose allows the surgeon to make more dramatic changes to the nasal structure. As added bonuses, open rhinoplasty carries the smallest risk of distorting cartilage and is the only procedure that allows for total reshaping of the nose’s tip.
There is, of course, a downside; visible scarring is more likely with the open procedure. The good news is that these scars are often difficult to spot, being only 4-5 mm long and located on the undersurface of the nose.
If these are the pros and cons of open rhinoplasty, then what does closed rhinoplasty entail?
Closed rhinoplasty is a much milder procedure, wherein the surgeon will create two separate incisions, one in each nostril. This procedure provides less access to the full structure of the nose, but the surgeon will still have some access to the nose’s bone structure.
The most common reason that people elect to undergo closed rhinoplasty is that the scars will be on the inside of the nostril and thus all but invisible. Because this procedure doesn’t involve completely opening up the nasal structure, the recovery time is typically shorter than for patients who have undergone an open rhinoplasty.
The disadvantage of this procedure is that, since the left and right nostril’s incisions are disconnected, repositioning skin around the nose’s new shape can be difficult. The operation is completed using narrow surgical openings, which means that the surgeon has limited opportunities to change the overall shape of the nose. As the final downside, this procedure carries increased risk of cartilage distortion, as altering the nasal structure requires substantial skin stretching.
Choosing the Right Procedure
Now you have all the facts, but how can you decide which operation is right for you? The decision is always personal, but it can usually be summed up as follows:
If you’re hoping for a major change in the shape of your nose and can tolerate a small, near-invisible scar on the undersurface, then opt for open rhinoplasty. If, however, you only want minor changes and want to be positive that there’s no chance of a scar showing, and can accept the risk of cartilage distortion, then closed rhinoplasty is the operation for you.
Regardless of what procedure you settle on, Dr. Parakh is more than qualified to provide you with the quality rhinoplasty that you deserve. From all of us at Dr. Parakh’s office, we look forward to working with you and scheduling your rhinoplasty consultation.