In recent years around the country open rhinoplasty has increased in popularity and this trend is common here in San Diego and La Jolla. The open approach involves making a small incision at the bottom of the nose allowing greater access and visualization of nose structures under the skin.
Why is open rhinoplasty a popular choice?
Open rhinoplasty allows greater visualization of irregularities in the tip cartilages, and makes it easier to reshape the tip with grafts that need to be sutured in place. Also, the open approach makes it slightly easier to preserve the integrity of nasal septum mucosa which can prevent future nasal valve collapse and breathing problems. Finally, this approach is popular among surgeons because of the ergonomics: the surgeon can maintain an upright posture throughout the procedure easily. One could extrapolate that a comfortable surgeon is better for the patient too!
Why would San Diego residents not choose an open approach?
The open approach leaves a (usually well hidden) scar across the columella, and this of course requires suturing which can add to the length of the surgery. Likewise, some noses require only minimal tip work and have no breathing concerns that require more exposure. For these reasons, a “closed” or endonasal approach may be beneficial.
Ultimately the decision is based on personal preference and experience of your surgeon, and most surgeons will happily explain this philosophy to their patients who are interested. Our best advice for San Diego clients seeking rhinoplasty is to focus more on the experience and skill of the surgeons they are evaluating, rather than on the approach to rhinoplasty (open versus closed).
Dr. Roy David is a rhinoplasty expert who has performed hundreds of surgeries. He commonly performs both open and closed approach rhinoplasties with outstanding results. David and Rossi Plastic Surgery welcomes you to join us for a free consultation in our San Diego office.