Closed Rhinoplasty vs Open Rhinoplasty Surgery 

Closed Rhinoplasty www.seattlefac...
Technique With Award-Winning Facial Plastic Surgeon Dr William Portuese
What is Closed-Rhinoplasty Surgery Like? For more information and before & after photos, or call 206-624-6200
Dr. Portuese is a double board-certified plastic surgeon serving Seattle, Portland, and Ketchum ID. He is a top contributor on RealSelf with nearly 200 reviews.
Closed Rhinoplasty Approach
The approach Dr. Portuese takes for rhinoplasty or nose surgery is using a closed approach, meaning he does not make an incision outside of the nose to the internal work. He is an expert in this technique and uses is for anything from a dorsal hump to a broken nose.
Video Transcript
- - Patients often ask me what a rhinoplasty surgery is like. And I tell them, I perform closed rhinoplasty with all the incisions placed on the inside of the nose. There's no packing placed on the inside of the nose either. And all the stitches are dissolvable. Basically, we are sculpting the bone and the cartilage underneath the skin in order to affect the change. Such as shaving down the dorsal hump. narrowing the bulbous nasal tip. Sometimes we're adding a cartilage graft, such as a spreader graft, to make sure that the upper lateral cartilages don't collapse inward during the healing process. Sometimes we're removing a conservative amount of cartilage from the nasal tip when it's bulbous. Sometimes we're putting suture techniques applied to those lower lateral cartilages of the nasal tip. But it's important to understand that the nose is a three-dimensional structure. And rhinoplasty's performed in all three dimensions. That's why the nose has to look good in all three dimensions. And it has to also breathe properly out of both sides of the nose.
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All incisions in a closed rhinoplasty procedure are made inside the nose, leaving no visible scars.
Corrections to the nasal cartilage, bone, and septum are all accomplished through the small incisions in the nose. Closed rhinoplasty gives the added benefit of a quicker recovery time.
Closed rhinoplasties are an alternative to open rhinoplasties. Incisions are made in the nasal membrane in several areas to reach different portions of the nose framework, rather than exposing the nasal structure. Patients can have shorter healing times and less obvious scars by not opening their nose. A closed approach can most likely be used to achieve your aims, whether it's for an ethnic rhinoplasty or a rejuvenation nose operation.
Incisions are created on the inside of the nose during a closed rhinoplasty.
The nasal structure will not be exposed, limiting the surgeon's visibility; nevertheless, postoperative scarring will be concealed and undetectable.
An endoscope may be used in conjunction with a closed rhinoplasty to improve visibility.
Sutures will close incisions and an external splint or cast will be placed over the nose once the repair is complete.
A closed rhinoplasty aims to achieve facial harmony by altering the nose's form, size, or angle.
Closed rhinoplasty can also be utilized to correct breathing issues caused by internal nasal abnormalities. For a closed rhinoplasty contact board certified facial plastic surgeon Dr William Portuese.
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