 The closed rhinoplasty technique is unquestionably better. What Is a closed rhinoplasty? During this type of rhinoplasty procedure, the incisions are hidden inside the patient’s nose. As a board-certified plastic surgeon since 1983 I adamantly oppose performing an open rhinoplasty. This is whether primary or revision rhinoplasty. This open technique is, in my opinion, a deviation from the standard. Furthermore, it is best done by the profession of plastic surgery.The vision and the artistry requirement to achieve that vision for the most elegant rhinoplasty result is best done by closed technique. The open technique disassociates or separates the operating surgeon from the evolution of the result developing on the operating table. The closed technique allows for a more accurate and achievable result. This is done by allowing the surgeon to demonstrate and observe the incremental changes and their effect on the final result. These changes occur during the operative procedure. The open technique does not permit this. Unless the surgeon takes the time to redrape or replaces the fully skeletonize or retract skin that the open technique requires. CLOSED RHINOPLASTY WITHOUT A DOUBT IS BETTERFurthermore, this complete separation of the entire skin envelope of the nose and then replaced. This creates a far more longer resolution of swelling. It is the resolution of this swelling as soon as possible. It is not feasible with the open technique. This is what gives us our best result as soon as possible. Furthermore, I believe that only the closed technique can the most elegant relationship between the dorsum or profile and the tip result. In short, if you want your best rhinoplasty be sure it’s done closed by an expert. You can judge your surgeon’s expertise and style by reading reviews. Also, study the before and after gallery. This is a measure of whether or not he or she can achieve your goals. Achieve them for the best the first time. WHERE IS THE TUMMY TUCK SCAR?If you ever look in the mirror after a shower and firmly grasp the skin and fat beneath your bellybutton. And, you wish the roll would be gone you are a candidate for a tummy tuck. The tummy tuck or abdominoplasty is a great operation. It enhances and achieves the flattest possible abdomen possible. Diet and exercise often don’t work fully. This is especially true if you have lost significant weight over the last several years. A smoother, slimmer abdominal wall and hips achievement occurs in most patients who are good candidates with a tummy tuck. Also, possibly liposuction. Your biggest decision will be if you can handle the incision site or the permanency and location of the scar. This incision site begins just above the pubic hair. It proceeds to each side of the hip. In some cases, the incision is an extension laterally. This is to remove additional skin and fat. In most instances, it is low enough to be adequately hidden with appropriate garments. CAN A TUMMY TUCK BE DONE AT THE SAME TIME AS RHINOPLASTY?Yes, in our Practice we often combine Rhinoplasty with other Cosmetic procedures, as long as a patient is a candidate. This way – a patient will only have to recover once, obtain medical clearances once and return to work or school within several weeks’ time. THOMAS P. TREVISANI MD BOARD CERTIFIED PLASTIC SURGEON MEMBER ASAP |
