Rhinoplasty or nose surgery can primarily be performed using open or closed surgical techniques. Depending on the patient’s unique cosmetic requirements to improve the size or shape of the nose and their current nose condition, the surgeon will recommend the appropriate rhinoplasty technique.
Dr. Trang Vo-Nguyen (Dr. V) is a board certified facial plastic surgeon providing open rhinoplasty and various other procedures to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding communities.
Benefits of Open Rhinoplasty
If the patient requires substantive changes in the nose shape or size, or a reconstructive or post-traumatic rhinoplasty is needed, an open rhinoplasty technique may work best. This procedure will allow the surgeon access to a greater part of the nose. Many times it may also help them to make minor adjustments to the nasal tip.
The surgeon will make a small incision in the columella, which is the vertical tissue between the two nostrils. The columella becomes the access point to open the nasal skin and clearly view the underlying structures. With more precise visualization of the structures, the surgeon may be able to create more effective cosmetic results.
Although open rhinoplasty technique can yield excellent outcomes, but it is important to ensure that the operating surgeon is fully trained in facial plastic surgery procedures to have a detailed understanding of the underlying anatomy. Wider dissections and re-establishing support with sutures and grafts means that an expert surgeon is required to achieve the desired results with open rhinoplasty.
Procedures Involving Open Technique
Reduction Rhinoplasty
To create a nose more proportionate to other facial features, the surgeon may perform reduction rhinoplasty using open technique. The procedure can address flared nostrils, elongated nasal tip, and bumps on the nose bridge. Small amounts of cartilage and bone may be removed to create the desired results. Alar base reduction procedure may be performed to reduce the size of the nostrils.
Augmentation Rhinoplasty
This procedure, involving open rhinoplasty technique, will require the surgeon to perform tissue or bone grafting to build up the nasal tip or bridge. Cartilage from the nasal septum may be used for the grafting. Synthetic implants may also be used sometimes to augment the size of the nose to improve overall facial balance.
Post-Traumatic Rhinoplasty
If the patient has sustained a nasal injury, they may require post-traumatic rhinoplasty, which would involve the open technique. The procedure can address both functionality and appearance. The procedure can help to correct the nasal septum and straighten the nose. The surgeon may have to re-fracture the nose and reset it to build the desired nose.
Reconstructive Rhinoplasty
If the patient has lost all or part of their nose due to skin cancer or an accident, they may need reconstructive rhinoplasty. The surgeon will use the open technique to rebuild the nose with the help of flap techniques, skin grafts and other advanced methods. Multiple surgeries may have to be performed over several months.
Experienced facial plastic surgeon Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and other neighborhoods and so on across the landscape in this part of the state for open rhinoplasty and various other surgeries.
For more infomation please contact Dr. V. Dr. Trang Thuy Vo-Nguyen, known to her patients as “Dr. V,” is a board certified facial plastic surgeon providing the latest surgical and non-surgical aesthetic procedures in Northern Virginia, Leesburg, Loudoun, Fairfax, Warrenton, Fauquier, Arlington, Manassas, Middleburg, Prince William, and other areas. https://thevirginiainstitute.com/contact-us
