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Rhinoplasty Techniques: Ways of Performing a Nose Job Surgery

By Constance M. Barone, M.D. on September 09, 2014

A woman smiles while out on the sidewalkThere are many facial surgeries that can make a major difference. One especially effective facial surgery is rhinoplasty (nose job), which can enhance and improve the appearance of a person's nose, making all other facial features complementary in the process.

Dr. Constance Barone has helped countless patients in the San Antonio through rhinoplasty. We'd like to focus on the different ways that the surgery can be performed and why one may be more ideal for you than another.

About Rhinoplasty

Some basics about rhinoplasty first.

A rhinoplasty is a facial plastic surgery procedure that is performed in order to revise the size, shape, and overall appearance of the nose. The surgery can improve facial symmetry and enhance your overall appearance in the process.

In addition to its applications as an aesthetic surgery, rhinoplasty can also be performed in order to address problems with the breathing passages and sinuses.

The two methods of performing rhinoplasty surgery are open and closed.

Closed Rhinoplasty Surgery

Closed rhinoplasty surgery involves all incisions being made inside of the nostrils. No external incisions need to be made whatsoever, and all necessary revision of the tissues and underlying structures is achieved with relative ease.

Advantages and Disadvantages of Closed Rhinoplasty

Since there are no external incisions made at all during closed rhinoplasty, the biggest advantage is the lack of any visible scarring or potential scarring.

Even though the scarring is not visible, it does come with some drawbacks. The primary disadvantage of closed rhinoplasty is that it has limited ability to revise the overall shape and structure of the nose given that all incisions are made in the nostrils.

Open Rhinoplasty Surgery

Open rhinoplasty involves an incision made along the columella, the small strip of skin that is situated between the nostrils. Through this incision, the cosmetic surgeon can access various parts of the nose and make adjustments as needed.

Advantages and Disadvantages of Open Rhinoplasty

The primary advantage of open rhinoplasty is that it allows cosmetic surgeons an extra level of control when it comes to making adjustments to the structures of the nose. This means patients with more complicated aesthetic needs will be able to have these issues addressed.

The primary disadvantage is the external incision along the columella. While scarring is minimal and generally unnoticeable, the external incision can sometimes be apparent with some patients.

Which option would be best for me and my needs?

This really depends on your needs.

Ideally it's best for cosmetic surgeons to work conservatively, though the needs of the patient have to be considered carefully. For patients with only minor aesthetic revision needs, a closed rhinoplasty would likely be better. For more involved issues that affect the appearance of the nose, the open rhinoplasty tends to be more ideal.

During your consultation at our practice, we will be sure to go over these matters in full detail so that you can undergo the right surgery for you.

Learn More About Facial Plastic Surgery

For more information about rhinoplasty and whether or not it would be the ideal option for you and your needs, it's important that you contact our cosmetic plastic surgery center today. Dr. Barone looks forward to your visit and helping you achieve excellent results through facial plastic surgery.

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Rating our experience with a perfect score is not enough. The care and attention we received from Dr. Barone and her team was as close to perfection as one can ask for. Jacqueline W.

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San Antonio Office

9502 Huebner Rd
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San Antonio Office

9502 Huebner Rd
Bldg 2, Ste 202
San Antonio, TX 78240

Open Today 9:00am - 4:30pm

All Hours Directions (210) 614-0400