With closed rhinoplasty incisions are made inside the nostrils so there are no external scars. This results in less trauma to the nose and therefore less recovery time, which is an important factor considering noses can remain swollen for up to a staggering 24 to 36 months after surgery. Open surgery is more invasive - this technique involves
making an incision across the columella, the piece of skin that separates the nostrils and in layman's terms, "pulling the nose back to see inside and work on it." says Seth, a recent patient who underwent the procedure last March.
Both techniques have their benefits and their downfalls. With the open technique surgeons claim to have more control over the shape of the nasal tip since they can see everything in side the nose vs. working blindly. "These deformities are best approached via an open rhinoplasty"
Nassif comes from a new bread of rhinoplasty surgeons. Well many other seasoned plastics who have "been around the block" longer have a completely different take it. Take for example his neighbor, whose practice also resides on the same floor of the 120 S. Spalding Drive medical building in Beverly Hills notorious for being the home to numerous plastic surgeons. Dr. William Binder states "The closed technique is an evolution of open. Residents first learn open then advance on to the closed technique, however many end up just sticking with open since it's easier." Benefits include no external scarring and swelling for a drastically shorter period of time.
As cosmetic surgery continues to gain steam so will this debate. With experts from both sides standing firm on their beliefs, perhaps both ways are correct.
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