Rhinoplasty – Open Technique the one Seattle | Bellevue’s Dr. Philip Young prefers: One of the things we do the most is Rhinoplasty here at Aesthetic Facial Plastic Surgery. With rhinoplasty we prefer the open technique. This approach is the best way to perform Rhinoplasty. The open technique refers to the little incision at the bottom of your nose that allows all of the skin of the nose to be lifted up so that you have direct visualization of the structures. Below shows a 2 month before and after of the incision that is at the bottom of the nose between the nostrils. See if you can find it. It is really hard to detect.
We prefer this technique because we feel it is the most accurate way to perform Rhinoplasty. It is based on the most up to date techniques that are much harder to perform with a closed approach to Rhinoplasty. Below is a before and after picture of a rhinoplasty done with the open technique showing results from an oblique view. Notice how the incisions are really hard to detect and the results are excellent.
What are the Pros and Cons:
Pros:
- better visualization
- direct suturing of the nasal tip cartilages
- easier to perform minute techniques
- You can see the structures as they actually be – called in situ visualization
Cons:
- scar at the columella
- columella healing issues
- prolonged tip edema swelling
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Dr. Young from Aesthetic Facial Plastic Surgery.