The closed rhinoplasty technique is unquestionably better. What Is a closed rhinoplasty? During a closed rhinoplasty procedure, the incisions are hidden inside the patient’s nose. As a board-certified plastic surgeon since 1983 I adamantly oppose performing a rhinoplasty, whether primary or revision, utilizing the open technique. This open technique is, in my opinion, a deviation from the standard and best practices by the profession of plastic surgery.
The vision and the artistry required to achieve that vision for the most elegant rhinoplasty result can best be achieved through the closed technique. The open technique disassociates or separates the operating surgeon from the evolution of the result developing before him or her on the operating table. The closed technique allows for a more accurate and achievable result. This is achieved by allowing the surgeon to demonstrate and observe the incremental changes and their effect on the final result as they develop during the operative procedure. The open technique does not permit this. Unless the surgeon takes the time to redrape or replaces the fully skeletonized or retracted skin that the open technique requires.
CLOSED RHINOPLASTY WITHOUT A DOUBT IS BETTER
Furthermore, this complete separation of the entire skin envelope of the nose and then replaced creates a far more prolonged resolution of the swelling. It is the resolution of this swelling as soon as possible – which is not feasible with the open technique. Which 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 be achieved. In short, if you want your best rhinoplasty to be sure it’s done Closed by an Expert. You can judge your surgeon’s expertise and style by reading reviews and studying the before and after gallery. This is a measure of whether or not he or she can achieve your goals for the best knows the first time.
WHERE IS THE TUMMY TUCK SCAR?
If you have ever looked in the mirror after a shower and firmly grasped the skin and fat beneath your bellybutton and wished this roll would be gone you are a candidate for a tummy tuck. The tummy tuck or abdominoplasty is a great operation to enhance and achieve 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 can best be achieved in most patients who are good candidates by a tummy tuck and 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 will be extended laterally. This is to remove additional skin and fat. In most instances, it is low enough to be adequately camouflaged 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