Our Expert Surgical Technique
Your surgeon will work with you to decide on the technique that is right for you, your facial structure, and your goals.
Open Incision
The open incision technique is ideal for more significant cosmetic enhancements. The incision appears similar to an inverted “V” made at the columella, which is the central column of the nose that separates the nostrils. Once healed, the scar will become nearly invisible.
Closed Incision
The closed incision technique may be used in some cases. These incisions are made within the nasal passages, allowing you to avoid any visible scarring. The endonasal approach is usually reserved for patients desiring smaller, less drastic cosmetic changes.
Bone Removal
After the incisions are made, excess bone cartilage will be removed if necessary, so your surgeon can create your desired appearance and sense of function. In most rhinoplasty surgeries, the dorsal hump is the area that needs reduction.
Tissue Addition or Removal
Patients often want tissue removed or added to their noses. Excessive tissue is often removed, but in some cases, it needs to be added. When tissue needs to be added in the nose surgery, it may come from the nose, ear, ribs, or pelvis.
Skin Replacement
After your surgeon has successfully created your nose’s attractive new structure by either adding and/or removing bone and cartilage, he will carefully drape your facial skin back over the frame of your restructured nose.
Incision Closure
Finally, any incisions (whether internal or external) will be closed with “permanent” sutures, which are typically removed within five to 10 days. Dissolvable sutures are also an option your surgeon may recommend during your consultation.
