Rhinoplasty can be done in two ways: open or closed. The choice of how to access the treated area (which type of incision will be) varies according to the type(s) of technique(s) used and the individual characteristics of each patient. Only then will the specialist be able to reduce, enlarge, align or rebuild your nasal structure.
In open rhinoplasty, the incision to lift the tissues covering the nose is made through the columella (the region between the two nostrils). This type of access is indicated for more complex cases, in which the surgeon needs to have greater visibility of the operated area. Search for nose surgery for men (เสริม จมูก ผู้ชาย which is the term in Thai)
The open-access route is widely used in secondary rhinoplasties. Furthermore, it is common in reconstructive rhinoplasties, such as in the case of cleft patients. Its main inconvenience is the scar left after the procedure – although the mark is increasingly discreet, almost invisible.
In closed rhinoplasty, the incisions to reshape the nose are internal. They can be made, for example, through the lower lateral cartilages. In this way, the scars are hidden inside the nasal cavity.
The secure access way is indicated for primary and simpler aesthetic and functional corrections. For example, in a reduction rhinoplasty to correct the nasal hump (a small bump on the back) or to treat the bulbous tip. Its biggest attraction is the absence of apparent scars in the operated area.
Currently, technological tools have contributed to increasingly perfect and less invasive results, accelerating recovery. This is the case of nasal endoscopic surgery, a type of video surgery indicated to treat obstructive, inflammatory, or infectious diseases, in addition to tumors. Chronic rhinosinusitis, for example, is one of the conditions that can be treated.
Rhinoplasty is considered a technically complex procedure. Therefore, the knowledge and experience of the responsible physician are crucial. Regardless of the technique adopted, the objective must be to seek the best possible result with the least risk of complications.