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Basics of Open Rhinoplasty

Treatment by our rhinoplasty New York City & Long Island experts is aimed at the modification of the appearance as well as the functional properties of the nose.  This is achieved through surgical manipulation of various features, including the bone, skin, cartilage and lining of the nasal passage.

There are two types of rhinoplasty performed:  open and closed.  This refers to the type of incision used during the procedure. Open rhinoplasty consists of a small incision made in the columella between the nostrils as well as additional incision made inside the nasal cavity.  In closed rhinoplasty, incisions are made only inside the nose.

Reasons for Rhinoplasty & Nose Reshaping

Not everyone who obtains treatment in our nose reshaping New York practices does so for purely cosmetic reasons.  In fact, there are many issues that are successfully corrected by the rhinoplasty procedure, aesthetic appearance being just one of them.

Some patients we treat have experienced abnormalities as a result of previous nose surgery.  Some experience airway obstruction or congenital abnormalities.

Congenital abnormalities that are successfully treated through rhinoplasty include ethnic or genetic characteristics and deformity caused by cleft lip or palate.  These cases are less common than the acquired abnormalities which may occur in a patient.  Such abnormalities may come from:

  • Traumatic injury such as bites or burns, nasal fractures or nasoorbitoethmoidal fractures, and septal hematomas.
  • Malignant tumors
  • Serious Infection
  • Toxins breathed through the nose
  • Allergic rhinitis
  • Autoimmune disorders or disease of the connective tissue

The Consultation Process

All treatment in our rhinoplasty New York practices begins with a comprehensive examination and evaluation.  It is always important to determine your reasons for seeking cosmetic surgery so as not to be disappointed with the end results.  Surgery is never a way to obtain self-esteem where there is none to begin with.

A patient needs to have his or her own reasons for obtaining treatment, or they run the risk of feeling let down in the end.  While consulting with the Advanced Cosmetic Surgery Team, be prepared to discuss your complete medical history as well as lifestyle habits.

A physical examination of the face is also performed during the consultation for rhinoplasty.  This analysis looks at the balance of all facial features, notes any surgical scars and also evaluates skin.  The nose is examined from top to bottom, paying close attention to the overall structure, characteristics of soft and bony tissue, and external nasal angles.

Internally, the nasal valves, septum, lining and turbinates are assessed.  Finally, the nasal tip and dorsum are examined.  In some instances, specific tests will be conducted in order to facilitate planning of the procedure.

Indications for Open Rhinoplasty

After a thorough examination, the surgeon is able to determine which type of rhinoplasty is best suited.  Some of the reasons open rhinoplasty may be called for include:

  • The state of skin in the area being sculpted
  • Whether excising a nasal tumor is necessary
  • Deformity from a cleft lip or palette
  • To repair septal perforations
  • Dysfunction of the internal nasal valve
  • To modify the nasal tip
  • To address a deviated septum or dorsum

Book a Consult with our Nose Reshaping New York (Long Island) or New York City Experts

Addressing all of the issues in the nose, the Advanced Cosmetic Surgery Team can restore excellent function as well as good aesthetics.  To determine which type of rhinoplasty is best for you, contact us for your free consultation.