Today, there are two different approaches that can be used to perform surgical rhinoplasty: the open method and the closed method. In the past, most surgeons used the closed technique to perform the majority of surgical rhinoplasty procedures. Today, however, the technique has been widely surpassed by the open method in the United States. The closed procedure is still used for some patients, but the open technique is preferred by the majority of plastic surgeons. So why is this, and is the closed technique even relevant in this day and age?
Open vs. Closed Technique
To understand the potential relevance of the closed technique, it is important to understand both the open and the closed method of performing rhinoplasty. The closed technique simply means that all the incisions involved in the procedure are placed inside the nose, with no external scarring visible. The open technique utilizes a single external incision running horizontal between the nostrils, producing a very small scar that fades well over time.
The major advantage of the open technique is that the surgeon has superior visibility of the nasal structures he or she is working with. The nasal skin can be pulled back like the hood of a car, allowing the surgeon mobility and total command of the nasal structure. The closed technique greatly limits this visibility, a major reason most modern plastic surgeons prefer the open technique.
Who Still Uses the Closed Technique?
Some surgeons feel more comfortable using the closed approach, and most of these surgeons have been practicing since the days when the closed method was still the most common. Some surgeons use both techniques, depending on the situation, and know how to perform the closed rhinoplasty, even if they rarely do.
Does Closed Rhinoplasty Still Have its Place?
Despite the preference many surgeons have for the open technique these days, this does not mean that the closed technique be abandoned completely. A surgeon may decide that a particular case warrants a closed rhinoplasty for specific reasons. In general, however, the enhanced visibility and access granted by open rhinoplasty is preferred for accomplishing patient goals.
In the end, do not be too worried about which technique your surgeon prefers. Instead, look for examples of his or her work, credentials, and the rapport you are able to develop during your consultations. These qualities are much more important to your final results than the surgical technique used. A skilled rhinoplasty surgeon is knowledgeable, artistic, and adaptable, able to tailor his or her techniques to help each patient reach specific goals, which means no surgery will be exactly the same.
When you are ready to move forward with your procedure, do not be shy about speaking up and communicating your goals clearly. Your responsibilities are to find the best surgeon for the job and follow all pre and post-operative instructions given to you, while maintaining realistic expectations about your results. Do not take chances with your rhinoplasty—you do not want to regret your decision later on.
A Knowledgeable Plastic Surgeon
Rhinoplasty is a difficult, complex, and artistic process, requiring the skill of an expert plastic surgeon to produce good results. Your plastic surgeon should be comfortable with many different techniques and be able to adapt in any way necessary to customize a procedure that will accomplish your goals for surgery. It takes an experienced, confident, and passionate surgeon to accomplish this, and only a board certified facial plastic surgeon specializing in the procedure is qualified to take on this responsibility.
Dr. Stuart Bentkover is well known for his experience and flexibility, emphasizing natural, beautiful results that promote facial balance and harmony. His passion for the procedure compels him to continue advancing his skills in the field and always work toward a stunning, custom result. If you would like to discuss your goals with Dr. Bentkover, call Bentkover Facial Plastic Surgery in Worcester (508-363-6500) or Stoneham (617-247-0033), MA to schedule your consultation today.