Open vs Closed Rhinoplasty: Choosing the Best Approach for Your Nose

What is Closed Rhinoplasty?

Closed rhinoplasty, as the name suggests, involves making incisions entirely inside the nostrils. This minimally invasive approach has several advantages:

• Minimal scarring due to no visible external incisions. All incisions are hidden inside the nostrils.
• The lack of external incisions often leads to quicker healing times and a lower infection rate. You can expect less postoperative swelling and a faster return to daily activities.
• Closed rhinoplasty requires a high level of expertise. Dr. Ambay is one of the few plastic surgeons in Tampa who has mastered this method.
• It is suitable for a wide range of cases, including reshaping the nasal tip, straightening the septum, narrowing the nose, and improving breathing passages.

What is Open Rhinoplasty?

Open rhinoplasty involves making an incision on the external skin between the nostrils, which is then lifted to provide a clear view of the nasal structures. While this technique offers certain advantages, it comes with trade-offs:

• The primary benefit of open rhinoplasty is the improved visibility it offers. Surgeons can see the nasal structures more clearly, which is advantageous for complex cases or significant reshaping.
• The trade-off is the external incision, which can result in a more noticeable scar. While the scar typically fades over time.
• Open rhinoplasty may involve a longer recovery period and an increased risk of postoperative swelling and infection compared to closed rhinoplasty.

At Ambay Plastic Surgery, we use the most advanced minimally invasive rhinoplasty techniques in Tampa. Dr. Ambay uses a closed rhinoplasty incision more than 98% of the time, limiting the incisions to only a few millimeters inside the nostril. There are no external skin incisions, resulting in quicker healing and a lower infection rate. This technique requires a high degree of skill, and only a few surgeons in Tampa routinely perform this type of rhinoplasty. Dr. Ambay is triple-board-certified and has mastered the art of the closed rhinoplasty. He can create an alluring nasal profile by reshaping the nasal tip, straightening the septum, narrowing the nose and even opening the breathing passageways.

However, it is important to know that in some complex cases, an open rhinoplasty technique is needed. In this technique, an incision is made on the external skin between the nostrils, and the skin is lifted off and flipped over the underlying cartilage and bone, like flipping a comforter off a bed. The advantage of this technique is clear visualization, but the downside is the external skin incision. Since every patient has unique needs, it is important to note that your surgery and technique will be tailored to your specific needs and goals.

Dr. Ambay understands the importance of creating facial harmony and doesn’t treat the nose as though it sits independently of the rest of the facial features. Creating a nose that balances with the rest of your facial features is key to achieving a natural result. During consultation, Dr. Ambay performs a full facial analysis with pictures, to explain how your new nose will fit in harmony with the rest of your face. He also understands the subtle nuances between male rhinoplasty and female rhinoplasty. Contact our Spring Hill or Wesley Chapel office to book your appointment.

Why Ask About Technique and Analysis?

When choosing a rhinoplasty surgeon, ask about their preferred technique and whether they perform a full facial analysis. This will help you understand how they plan to achieve your desired results and ensure their approach aligns with your goals.

• Verify whether your surgeon has extensive experience with both open and closed rhinoplasty techniques. This expertise will be crucial in determining the most suitable method for your specific needs.
• Inquire if the surgeon conducts a thorough facial analysis before surgery. This analysis is essential for ensuring that the new nose will complement your facial proportions and achieve a harmonious look.
• A surgeon who prioritizes personalized care and takes the time to discuss your preferences and concerns is more likely to provide results that meet your expectations.