The nose occupies a central position on the face. Shape problems such as asymmetry between the nostrils, the prominence of the nasal arch, deformations at the tip of the nose, the nose being wider or narrower than normal can directly affect the facial expression of the individual. Individuals, who have cosmetic concerns due to the shape of their nose, may have a nose that is proportionate to the other organs on their faces, looks natural and stands out.
Rhinoplasty is one of the most frequently performed cosmetic surgery worldwide, in both men and women. Since the shape of the face, structure of the skin and nasal septum procedures are not the same for all individuals, rhinoplasty may need to be performed with different techniques. Open rhinoplasty can be defined as a technique, in which nasal aesthetic procedures are performed by making an incision in the nasal skin. Surgeons will determine the technique to be used during the procedure as a result of the evaluations specific to the individual.
What Is Open Rhinoplasty? How Is It Performed?
Open rhinoplasty involves performing nasal aesthetics with the open technique. The procedure starts by lifting the skin of the nose after the incision made in the area between the nostrils, called the columella. This technique, which provides easy access to the nasal septum, enables surgeons to effectively access cartilage and bone structures, have a wide view and intervene easily. Due to these advantages of the open rhinoplasty technique, it is mostly preferred for individuals, who have a complex nasal anatomy, who need grafts to shape the nose, and who have dramatic cartilage deformities. The procedure is mostly performed under general anesthesia.
Who Can Have Open Rhinoplasty?
In order to have an open rhinoplasty, first of all, the development of the nasal bones and cartilages of the patients should have been completed. Bone and cartilage development is completed at the age of 16 for women, and 17 for men.
In order to perform open rhinoplasty, patients should have deformities in their noses that may affect their facial expressions, or that they are not satisfied with. Nonetheless, it is important that the patients have realistic expectations.
With open rhinoplasty procedure,
- The nose can be widened or narrowed,
- The nose tip can be configured, lifted, reduced,
- Nasal belt and nasal ridge can be corrected,
- Asymmetry between the nostrils can be eliminated, the nostrils can be reduced or enlarged,
- The shape of the nose can be restructured to be in harmony with the other organs of the face, and to provide a natural look.
Planning Process Before Open Rhinoplasty
As with all aesthetic procedures, it is necessary to carry out a personalized planning process before nasal aesthetic surgeries, regardless of whether they will be performed using open or closed technique. In this context, first of all, interviews are made between surgeons and patients. While learning the expectations of the patients, information is obtained about variables such as lifestyle and profession. The defining effect of the nose shape on facial expression requires that the facial analysis must be performed in the planning process of this procedure.
In the planning of open rhinoplasty, one of the most important steps is facial analysis. The facial features, the structure of the organs on the face, the sizes and proportions of the organs on the face, the shape of the face, facial expression and skin structure are not the same in all individuals. Within the scope of facial analysis, the planning of the new nose is performed by analyzing personal variables such as the shape of the lips, the structure and position of the cheekbones, the width of the forehead, the jaw structure, the distance between the nose and lips, the structure of the eyes, and the skin structure.
Recovery Process After Open Rhinoplasty
Following the general medical examinations after the procedure, patients can be discharged on the same day. Bruising, edema and pain may occur in the early period according to the scope of the changes made in the nose. These symptoms will pass within 7-10 days if sufficient care is taken after rhinoplasty, and the pain can be controlled with painkillers.
Head should be kept up during sleep for three weeks after the procedure. Very hot beverages should be avoided in the first week, and sports activities that will increase blood pressure should be paused for a minimum of 3 weeks. Sunscreens should be used when it is necessary to go outside in the sun.
After rhinoplasty, individuals should take care to protect their noses against impacts regardless of the technique. They should abandon habits that will affect wound healing during the post-operative period such as smoking and alcohol consumption. They should not wear glasses for at least 3 months. They should use the recommended creams or ocean waters regularly, and should follow a healthy diet.