Patients may sometimes be confused whether open or closed surgery should be preferred in surgical operations. Especially when it comes to an aesthetic operation, the situation becomes even more complicated. Since aesthetic operations are mostly concerned with a specific organ, it may not be understood what factors make a difference when choosing between two operations. The same applies to rhinoplasty.
In this blog post, Dr. Cem Altındağ, the best rhinoplasty surgeon in Turkey, will talk about the differences between open rhinoplasty and closed rhinoplasty and which one should be preferred in which situation.
How To Choose Between Closed And Open Rhinoplasty
A decision made without information cannot be called a choice. It is therefore useful to explain what these two types of surgery are separately before moving on to the differences between open rhinoplasty and closed rhinoplasty and which one should be chosen in what situations.
Let’s start with the open rhinoplasty first. Open rhinoplasty is a type of rhinoplasty surgery performed to achieve a more aesthetic nose or to get rid of health problems associated with it. In this surgery, the incision is made outside the nose. This allows easier access to the nasal structure and a much more comfortable observation of the surgical environment. The skin of the nose is lifted and direct access to the nasal structure with tissues such as cartilage and bone is provided. Performing the surgery by lifting the skin also makes it easier to observe the area where the surgery will be performed and thus allows complex procedures to be performed more comfortably.
During closed rhinoplasty, unlike open rhinoplasty, the incision is made on the inside of the nostrils. Opening the incision from the inner side prevents full control of the surgical area and may cause problems in accessing the nasal structure. It is therefore not preferred in cases that require complex procedures and where there is a functional problem with breathing.
Now that we have explained the two types of surgery, we can move on to the differences between them. The main difference between open and closed rhinoplasty is the location of the incision. In open rhinoplasty, the incision is made on the outside of the nose, while in closed rhinoplasty it is made on the inside of the nostrils. This difference between the incisions allows easier access to the nasal structure in open rhinoplasty and therefore easier observation of the area to be operated on. This allows more complex and challenging surgeries such as revision rhinoplasty to be performed in open rhinoplasty.
The advantages of open rhinoplasty over closed rhinoplasty are as follows:
⦁ More visible operation area
⦁ Ease of access to the nasal structure
⦁ Ability to perform complex operations
⦁ More accurate results
The disadvantages are:
⦁ Possibility of long-term complications
⦁ Long lasting scars
⦁ Prolonged recovery time
In closed rhinoplasty, since the incisions are made through the nostrils, it is not preferred in complex rhinoplasty procedures and health conditions as it may prevent observation of the surgical site and make access to the nasal structure difficult. However, in closed rhinoplasty, since the incisions are made inside the nostrils, there is no wound formation and the healing process is much faster.
The advantages of closed rhinoplasty over open rhinoplasty are as follows:
⦁ Shorter-term complications
⦁ Quickly disappearing scars
⦁ Faster recovery time
The disadvantages are:
⦁ Less visible surgical site
⦁ Hard to access nasal structure
⦁ Inability to perform complex operations
⦁ Less accurate results
Who Is A Good Candidate For Open Nose Job
As mentioned above, in open rhinoplasty, the incision is made from the outside of the nose and therefore the surgical site can be observed much better and the nasal structure can be accessed much more easily. This ease of access makes closed rhinoplasty indispensable for complex surgeries and challenging procedures.
For this reason, those who have major deformity problems with their nose may be good candidates for open rhinoplasty. At the same time, those who have had nose surgery before but are not satisfied with the result and want to undergo revision surgery can also be considered a good candidate.
At the same time, patients who have a clear expectation of the aesthetic result can also be considered good candidates for open rhinoplasty. Patients who have specific goals for their nose, such as dorsal hump reduction or nasal tip refinement, should definitely consider this type of surgery, as much more accurate results can be achieved with it.
There are also things that are expected of patients common to every operation. These include good health and realistic expectations of the outcome of the surgery.
What Is The Recovery Process Like For Open And Closed Rhinoplasty
The healing process of open and closed rhinoplasty is similar. But there may be differences in duration. The healing process after closed rhinoplasty takes place in a much shorter time than open rhinoplasty. Other than that, the healing process is similar and outlined as follows.
After Surgery
Depending on the dose of anesthesia administered, the patient may feel dizzy immediately after rhinoplasty surgery. It is completely normal to be exposed to its effects at a gradually decreasing rate until the drug is eliminated from the body.
It is also perfectly normal to feel pain and discomfort after the surgery. This pain is observed especially in and around the surgical area.
External splints and internal splints may be placed by your surgeon to properly support the nasal structure after surgery.
It is generally recommended to keep the head elevated immediately after surgery. This prevents pressure on the nose and prevents bleeding due to gravity.
First Days
Tissues and blood vessels are disrupted during surgery. As a result, swelling and bruising may occur due to infection, which will be most visible on the third and fourth day after surgery.
As a result of swelling of the nasal tissues, it is quite normal to feel nasal congestion and difficulty breathing within a few days after the rhinoplasty surgery. This congestion may sometimes be accompanied by a decrease in various sensations, especially taste and smell. It is a natural part of the healing process after rhinoplasty and will resolve spontaneously as the tissues heal.
The pain and discomfort that starts immediately after the surgery may also show its effect within days after the surgery, regardless of whether it is open rhinoplasty or closed rhinoplasty. It is possible to overcome this situation with painkillers given by a board certified specialist surgeon.
One of the most important things to do in the first few days after the operation is to avoid strenuous physical activity. Strenuous physical activities can increase the pressure on the nose and cause complications and prolong the healing process. This is why the body should be given the time it needs to recover after nose job surgery.
First Week
Towards the end of the first week after the rhinoplasty surgery, the swelling slowly begins to subside. However, the nose is still sensitive and may feel painful to the touch.
It is very important to be in open communication with the specialist surgeon during this process and afterwards and to follow the instructions given by the surgeon to the letter for the patient’s health and acceleration of the healing process.
Second Week
Swelling and bruising may still be present at the end of the second week after surgery. It should be remembered that swelling is a reaction to tissue trauma during surgery. Therefore, although swelling and bruising may disappear over time after rhinoplasty surgery, it may take up to a month or even longer to heal.
Splints and tampons placed to support the nasal structure during surgery can be removed in the second week as the swelling subsides and the tissues heal. Removing the splints and tampons will allow the nose to heal in a way that will achieve the desired aesthetic appearance.
Physical activities that are completely avoided after surgery can be started slightly as of the second week. However, strenuous physical activities should still be avoided. You can refer to our article on exercise after rhinoplasty on the subject and consult your specialist doctor about the sports you can do.
One Month and Onward
As the first month of the rhinoplasty begins to end, the swelling gradually decreases. Especially in the nasal type part, there may still be swelling that does not go away. In the first month and afterwards, the desired aesthetic appearance becomes much more noticeable.
In the first month and beyond, the senses of smell and taste gradually begin to be restored as the congestion in the nose decreases. The patient no longer experiences much pain and distress. The nose gets a much more aesthetic appearance and breathing problems slowly end. If open rhinoplasty has been performed, the scars begin to heal well during this period. With proper wound care, the scars can be reduced to almost nothing.
You can learn more about the side effects and complications that may occur after rhinoplasty surgery by reading our article or can look up the Wikipedia page for the related information.
The Best Before and After Closed Rhinoplasty Results
Deciding who to entrust a piece of your beauty to is a difficult decision and needs to be handled with care. When choosing a clinic, it is very important to look at before-after images as well as a deep research to observe the references and experience of the clinic, as well as to see whether the expectations regarding the outcome of the surgery coincide with the results of the operation performed in the clinic.
For this purpose, best rhinoplasty surgeon in Turkey, Cem Altındag, specialized in nose job Turkey operations, share with you the before-after images of the rhinoplasty surgeries he has performed before and give you the first address where you can entrust your beauty.
You can get information about nose job turkey price and find the most accurate answers to your questions such as “is it safe to get a nose job in turkey” by contacting us.
Frequently Asked Questions
How Much Does Closed Rhinoplasty Cost in Turkey
Nose jobs in turkey prices may vary due to many factors. These factors include the technological equipment used by the clinic, the competence and experience of the surgeons, and the popularity of the city where the surgery will be performed in terms of health tourism.
To find an answer to the question “How much is a nose job in Turkey” and to learn more about the subject, you can check our article on cost of rhinoplasty in Turkey.
How Does Closed Rhinoplasty Differ from Open Rhinoplasty
In closed rhinoplasty, the incisions are made from inside the nose, while in open rhinoplasty, the incision is made from the outer region of the nose and the nasal structure is reached by lifting the skin. Both methods have different advantages and disadvantages.
How Do I Choose Between Open and Closed Rhinoplasty
The first thing to consider when deciding between open rhinoplasty and closed nose job is what to expect from rhinoplasty surgery. While open rhinoplasty can give more successful results in more complex procedures, closed rhinoplasty is preferred for small procedures, but the healing time is much shorter and scars are not encountered.
General Reminder
All information mentioned here should be approached as a general reference. It is of great benefit to consult a board certified specialist surgeon for the most up-to-date and valid information on the surgical process and details.
