Nose job in Turkey is one of the most popular plastic surgery procedures in the world. Rhinoplasty patients must decide between two types of surgery: closed and open. In Turkey, a popular destination for medical tourism, renowned clinics offer excellent options for both procedures. Cosmedica Aesthetic explains the differences between the types of rhinoplasty “closed vs. open nose surgery”.
What is closed nose surgery?
Closed nose surgery (endonasal rhinoplasty) is a technique used to correct the nose without cutting into the nasal skin. Instead, the surgeon makes all cuts inside the nostrils, so there are no visible scars on the outside the nose.
Method explanation:
- Anesthesia: The surgery typically begins with general or local anesthesia with sedation.
- Suture: The surgeon makes small incisions inside the nostrils. Through these incisions, the surgeon can reach the nasal framework, including the cartilage, bone, and soft tissues.
- Modifications: This might include reshaping the cartilage, adjusting the bone, altering the tissue.
- Closure: The incisions inside the nostrils are closed with dissolvable stitches. The surgeon applies a nasal splint or bandage to stabilize the new shape during the recovery period.
Advantages of closed nose surgery
- No External Scarring: Since incisions are inside the nostrils, the skin remains scar-free.
- Reduced Swelling: The technique typically results in less swelling compared to open rhinoplasty.
- Shorter Recovery Time: Healing is generally quicker because of less disruption of nasal tissues.
- Natural Appearance: Maintains the natural skin attachments to the nasal structure, preserving normal movement and contours.
- Suitable for Minor Adjustments: Works well for patients needing subtle refinements, especially to the nasal tip or bridge.
Disadvantages of closed nose surgery
- Limited Visibility: The surgeon has a restricted view of the nasal structures, which may make complex corrections more challenging.
- Not Suitable for All Cases: Closed rhinoplasty is less ideal for extensive reshaping or reconstruction, such as severe asymmetry. Therefore, it is not suitable for post-traumatic deformities or complex nasal tip revisions.
- Steeper Learning Curve: This technique requires a highly skilled surgeon with extensive experience to achieve precise results.
- Limited Access: The surgeon may face difficulty accessing certain areas of the nose. This can potentially lead to less precision in complex procedures.
Uses for closed nose surgery
Closed nose surgery is most commonly used for:
1) Cosmetic Refinements
- Smoothing a dorsal hump
- Refining the nasal tip
- Narrowing or straightening the nose
2) Correction of Functions
- Addressing minor breathing difficulties
- Correcting slight deviations in the nasal septum (if accessible through internal incisions)
- Most effective for first-time surgeries rather than revision cases
Comparison with open rhinoplasty
Closed rhinoplasty is the better choice for cases that require minimal intervention and quicker recovery. However, for complex reshaping, open rhinoplasty is better because it gives the surgeon better access and visibility. It’s important to understand the capabilities and limitations of both procedures. Therefore, you can make an informed decision about which one is best for you.
What is open nose surgery?
Open nose surgery (external rhinoplasty) is a plastic surgery technique used to reshape the nose. During the surgery, the doctor makes a cut on the tissue between the nostrils (called the columella). He lifts the nasal skin and therefore has full access to the inside of the nose.
Method Explanation:
- Anesthesia: The procedure typically starts with general anesthesia or local anesthesia. The sedation types vary depending on the complexity of the procedure.
- Incisions: The surgeon makes a small, strategically placed incision across the columella. Additional internal incisions may be made within the nostrils. He then gently lifts the nasal skin to expose the cartilage, bone, and soft tissue underneath. This provides a view of the nasal framework.
- Reshaping: The surgeon reshapes the nasal cartilage and bones. This can involve grafting, trimming, or repositioning tissues. He straightens the nasal septum and the tip of the nose to correct breathing issues or support the nasal structure.
- Closure: After making the changes, the nasal skin is redraped. The surgeon uses small stitches to close the cut on the upper part of the nose. The expert will then apply a nasal splint and/or external tape. This supports the new shape during the healing process and recovery process post surgery.
Advantages of open nose surgery
- Enhanced Visibility: The lifted skin allows the surgeon a clear view of the nasal anatomy. This makes this method ideal for complex reshaping.
- Precision in Complex Cases: Provides better access for extensive modifications, such as major nasal tip reshaping. The method is also perfect for severe asymmetry corrections and post-traumatic deformities.
- Ideal for Revision Cases: Preferred for secondary revision rhinoplasty in Turkey to address issues from previous surgeries.
- Predictable Results: The open approach facilitates meticulous adjustments, leading to consistent outcomes.
Disadvantages of open nose surgery
- Visible Scarring: The external incision on the columella, although usually faint, may leave a small visible scar.
- Longer Recovery Time: More extensive tissue manipulation can lead to prolonged swelling and a longer healing period.
- Increased Invasiveness: The open approach is more invasive compared to closed rhinoplasty, which may result in greater initial discomfort.
Uses for open nose surgery
Open rhinoplasty is primarily used in cases requiring significant alterations or corrections:
1) Refinements for Cosmetic Purposes
- Reshaping a severely bulbous or drooping nasal tip
- Correcting a crooked or twisted nose
- Addressing significant dorsal humps
2) Functional Corrections
- Straightening a severely deviated nasal septum
- Repairing nasal structures after trauma
- Resolving breathing issues caused by structural defects
3) Revision Rhinoplasty
- Correcting complications or unsatisfactory results from prior surgeries.
- Rebuilding the nose after injury, disease, or congenital defects.
Comparison with closed rhinoplasty
Open rhinoplasty is chosen for its comprehensive approach, making it suitable for challenging or intricate cases. Patients who want a change or are dealing with a serious problem often benefit from open rhinoplasty.
Comparison table: closed vs. open nose surgery
Aspect | Closed nose surgery | Open nose surgery |
|---|---|---|
Incision Location | Inside the nostrils (hidden from view). | Across the columella (visible but minimal scarring). |
Scar Visibility | No visible scars. | Potential for a faint scar on the columella. |
Access to Structures | Restricted access, suitable for minor reshaping. | Comprehensive access, ideal for extensive reshaping or reconstruction. |
Complexity of Procedure | Best for simple to moderately complex adjustments. | Suitable for complex cases, such as major asymmetry or deformities. |
Precision | Limited precision because of restricted visualization. | Greater precision, direct access to structures. |
Swelling | Less swelling, minimal tissue disruption. | More swelling, especially in the nasal tip, because of extensive manipulation. |
Recovery Time | Shorter recovery time; swelling resolves more quickly. | Longer recovery time; swelling, especially in the tip, can last months. |
Duration of Procedure | Generally shorter, depending on complexity. | Slightly longer because of detailed modifications and skin elevation. |
Skill Required | Requires a skilled surgeon familiar with internal techniques. | Demands expertise for precise reconstruction and minimizing scarring. |
Cost | Often less expensive | Can be more expensive |
Post-Operative Pain | Mild to moderate. | Moderate, because of greater tissue disruption. |
Healing of Incisions | Internal stitches dissolve naturally. | External stitches on the columella may require removal. |
Key Takeaways: Closed vs. open nose surgery
Closed nose surgery in Turkey is best for small to medium corrections, like making it look better or fixing how it works. It has minimal recovery time and no visible scars. Open nose surgery is better for complex cases that require a lot of reshaping or reconstruction. But it takes more time to recover and there’s a higher chance of getting scars.
Why you should choose Cosmedica Aesthetic in Istanbul?
The clinic is important for the success of your nose job. Cosmedica Aesthetic is a leading clinic with an excellent reputation for its expertise. Here are some reasons why patients choose this clinic, aside from the before and after photos:
1) Experienced surgeons
Cosmedica Aesthetic specialists have a lot of experience with open and closed rhinoplasty.
2) Personalized consultation
Before the operation, a doctor talks with you to make a plan and choose the best method.
3) Modern equipment
The clinic has modern equipment and instruments. This makes it safe and accurate.
4) Good value for the price
Turkey offers good and affordable medicine with hotel stay and transfer for patients.
5) Excellent reviews
Former patients praise the clinic. They say it is professional, friendly, and effective.
Conclusion - Closed vs. open nose surgery in Turkey
You should think carefully about whether you want closed or open rhinoplasty. Both techniques have advantages and disadvantages, but the right choice depends on what you want and what you’re trying to achieve. The choice between closed and open nose surgery depends on a few things:
- How much the nose needs to be corrected
- Patient’s anatomy, shape and structure of the nose
- The patient’s wishes, goals, and expectations
- And the surgeon’s recommendation
If you’re looking for an aesthetic clinic in Turkey to consider, Cosmedica Aesthetic in Istanbul is a good option. We have experienced surgeons and modern equipment in one of the best clinics in Turkey!