Closed Rhinoplasty

Rhinoplasty procedures are often sought after for the simple reason that one is not happy with the appearance of his or her nose. Meanwhile, there are others who really require that they undergo the procedure because the current structure of their nose does not function effectively. Others undergo rhinoplasty because they injured their noses in an accident that has disfigured their faces or their noses. Additionally, with the current obsession of today’s advertising generation with perfect looks, it is not hard to see why undergoing a rhinoplasty procedure or a “nose job” in common parlance, is no longer taboo.

However, rhinoplasty is not as modern as one may think. In fact, more than three thousand years ago, the ancient Egyptians were already studying and treating deformities of the nose. The 1600’s saw the development of these treatments when an Italian doctor proposed the use of brachial-base delayed flaps in the said procedure. It was not until the late 1800’s however that the rhinoplasty procedure was revolutionized by a German doctor who created concepts and techniques that are still being used in the procedures being done today.

Contrary to popular perception, the term “rhinoplasty” does not refer to only one type of medical procedure to effect an alteration of the nose. But in fact embraces a number of different operating techniques.

What are these different techniques? One of them is called endonasal rhinoplasty. Endonasal is done by the use of incisions that are made inside the nose. The incisions made inside the nose can also be combined with incisions made on the outside of the nose, specifically on the columella. The latter type of procedure is called the external or open rhinoplasty approach, while the first type of procedure, the endonasal is also called closed rhinoplasty.

Like any type of procedure, there are advantages and disadvantages to both types of procedures. The main advantages of going through an endonasal or closed rhinoplasty procedure are that there will be fewer dissections, less swelling or edema after the operation and less scarring. Additionally, the doctor can perform more precise changes inside the nose and without having to open up the nose or take it apart. The closed rhinoplasty procedure also requires less time when it comes to performing the operation. Therefore, it also means that recovery time is also faster.

Depending on the patient’s particular needs, the plastic surgeon will recommend either a closed or an open rhinoplasty procedure. However, the doctor will more likely prescribe a closed rhinoplasty, because of the above-mentioned advantages that this technique has over the open procedure.

Despite the differences in the types of procedure, rhinoplasty patients must still exercise care and extra caution before and especially after the procedure. After a rhinoplasty, the patient must be extra careful in ensuring that he or she will not undergo any activity that will add injury to the nose, therefore avoiding sports and similar activities. Even simple tasks like blowing your nose or sneezing may cause damage to a newly-operated nose. Do these tasks with gentleness and extra care.

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