Open structure rhinoplasty is the incision of the outer part of the partition between the nostrils and the rhinoplasty surgery is performed through this incision. After the V-shaped incision is applied to Collumella, the skin and the tissues under the skin are removed. In this way, both nasal bone and cartilage tissues can be easily intervened.
Although the recovery time is slightly longer when compared to the closed technique, open structure rhinoplasty offers several advantages as it allows much more intervention to the nasal bone and tissues. When this technique is performed the internal structure of the nose, nasal bone and cartilage tissues are more visible. For this reason, we can state that the open structure is generally preferred in revision rhinoplasty surgeries and rhinoplasty surgeries that require intervention on the tip of the nose.
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Why is It Done?
First of all, open structure rhinoplasty surgery is a technique that should be preferred for some patients. Because the current nose shape or the shape that is desired to be given to the nose cannot be made with closed rhinoplasty. For this reason, the preference of the open structure becomes mandatory in a sense.
The fact that the operation can be performed with direct vision makes it easier to see the mistakes in the previous rhinoplasty surgeries and to make revision easier. With all this, it is possible to get answers to questions such as how much cartilage is removed from the tip of the nose or how much cartilage tissue is left in the nose area. It is also possible to observe the symmetry of cartilage tissues.
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In Which Situations Is Open Structure Rhinoplasty Preferred?
Open structure rhinoplasty is preferred in cases such as severe nasal tip problems or severe curvature of the nasal bone. In such cases, the open structure can offer a much more suitable working area for the surgeon performing the operation. We should underline that the open structure is an operation method that can be preferred in all kinds of nose deformities.
Even if the nose shape defect is at a very serious level, all kinds of corrections can be made with this technique. In cases such as collapses in the cartilage tissue of the nose or lack of cartilage tissue, the open structure becomes a more advantageous option. We can state that the closed rhinoplasty technique is sometimes insufficient, and the operation can be performed much more comfortably with the open structure.
The Importance of the Method That is Used in Rhinoplasty
The technique to be used in rhinoplasty operations should definitely be determined by the doctor. Sometimes, patients may insist on performing the surgery with the closed technique. However, it should be known that not every rhinoplasty surgery is suitable for closed technique.
Depending on the current nose shape and how the nose will be intervened, open structure rhinoplasty may be preferred. It should also be underlined that the open structure is a much more accurate option, especially when it comes to revision rhinoplasty. Because the surgeon must see what kind of intervention was done to the cartilage tissues in the previous rhinoplasty surgery and to what extent the cartilage tissues were reduced. Since this is not possible with the closed technique, your doctor may decide to perform the operation with the open structure.
The most worrying thing for patients about performing rhinoplasty surgery with open structure is the tampons used after the operation. However, the tampons used today are made of silicone material and because there is a hole in the middle part, the patients do not have respiratory problems while there is a tampon. We can state that new generation tampons offer a much more comfortable healing process for patients. There is no need to insist on closed technique with such worries.
Open Rhinoplasty Recovery Process
The healing process is not the same for every patient. A few days after the operation, the problems experienced by the patients are broadly eliminated. A full recovery may take 2 to 3 months. We can list the things to be considered after the open structure rhinoplasty as follows:
- After the operation, the silicone tampon can remain in the nose for 4 days to 7 days.
- There may be bruising, swelling and pain in the first days. These problems begin to decrease after a few days and disappear on their own.
- You should not blow your nose for 2 weeks after surgery.
- You should stay away from environments such as the sea, pool, sauna or Turkish bath for 2 months.
- You should protect the nose from various impacts and you should apply sunscreen before going out in the sun.
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