Open Rhinoplasty Procedure in Mumbai, India

Rhinoplasty in India is an intricate surgical procedure. It is done essentially to improve the form and function of the existing nasal anatomy. The skin, the underlying cartilage, bones, tissues, and lining all can be altered to suit the patient’s needs. Rhinoplasty is classified into two types depending on the type of incision that is made by the surgeon: open rhinoplasty and closed rhinoplasty procedure

Open Rhinoplasty is one of the oldest surgery procedures for nose jobs. The history of open surgery procedure for Rhinoplasty dates back to the year 1921 by Rethi who first used open Rhinoplasty for nasal tip modification. Over the years open Rhinoplasty had its ups and downs till the year 1970 when surgeons started advocating the open approach for surgery for the nose.

Rhinoplasty can be done for various reasons such as internal and external anatomy changes, changes in aesthetic appearance, botched-up previous rhinoplasty procedures, functional problems such as obstruction in airways, collapsed septum, etc., and nasal anomalies arising from genetic heritage and ethnicity. Open Rhinoplasty can be used to correct various problems such as:

• Cleft lip
• Fractures in the nose
• Burn injuries
• Infections such as syphilis cause discomfort
• Alter ethnic and genetic characteristics of the nose
• Restoring the balance of the face

When considering a patient for open Rhinoplasty the surgeon will look at various things. These include

History of the Patient

The first consideration for Rhinoplasty is the history of the patient. Apart from the medical history, the surgeon will also enquire about the lifestyle of the patient and various aesthetic problems that they feel that they face. Also come under consideration past symptoms, medications, allergies any kind of substance use, etc. Not only this, but the patient’s physiological profile is also kept in mind.

Present Physical condition and nasal Anatomy

The surgeon will give the patient a complete physical examination. Facial and nasal valve collapse analysis forms an important part of the same. The type of skin, symmetry of the skin, balance of the facial features,s, etc. are noted and documented. A detailed physical examination of the internals and externals of the nose is done in order to evaluate the scope of open Rhinoplasty. Routine tests for anesthesia will be done.

Open Rhinoplasty is very suitable for:

• Correcting the nose tip
• Patients with thick nasal skin
• Non-Caucasian patients
• Requirement of shield grafts
• Patients coming in for revision Rhinoplasty
• Patients with thick nasal skin
• Removal of tumour in the nose
• Septum reforms

Advantages of Open Rhinoplasty

There are many advantages of Open Rhinoplasty. It is a complex procedure and the benefits include:

• It gives the surgeon direct exposure to the underlying auricular cartilage, bones, and tissues. This makes it easy to inspect and look for any other problems that might be present and can be worked on. Also, the surgeon will be able to better assess the framework of the nose.
• A precision is handed to the surgeon when performing open Rhinoplasty. The modifications and abnormalities can be handled with precision for example the tip modification, graft placement, osteotomies (forceful fracture of the bones to alter the shape and size of the nose)
• For new surgeons open Rhinoplasty gives them a good learning platform. For experienced surgeons, it becomes a great training platform.

However, Open Rhinoplasty has its own downsides too. These include

• Increased scarring is one of the most common disadvantages of open Rhinoplasty. However, this is not a permanent problem.
• Open rhinoplasty takes a longer time compared to the other option
• Post-operative problems in the circulation of blood in the nose and numbness
• Loss of blood supply to the nose can also cause necrosis in the columellar flap causing discomfort to the patient.

Open Rhinoplasty is strongly recommended for patients who need large amounts of work on their nose for example if the nose is too long and protruding from the face or if it is too short i.e. too close to the face. Expert surgeons will be your best choice for open Rhinoplasty.

Before and After Photos of Open Rhinoplasty

Frequently Asked Questions for Open Rhinoplasty –

Question 1: Should I Get an open rhinoplasty or a closed one?

Without a columellar incision, the closed technique allows for faster operation and less swelling during recovery. An open rhinoplasty provides more precision for difficult noses and when altering the nasal structures for more complex cases.

Question 2: How long does open rhinoplasty take to heal?

After an open nose surgery, most patients can resume their regular activities or return to work in one to ten days.

Question 3: What happens if I sneeze after rhinoplasty?

You Must refrain from blowing your nose since it may interfere with appropriate healing and result in bleeding. If you must sneeze, keep your mouth wide open to reduce any disruption to the nasal passages.

Reference Links Section –

1. https://www.ncbi.nlm.nih.gov/books/NBK546628/
2. https://journals.lww.com/plasreconsurg/pages/video.aspx?v=261
3. https://emedicine.medscape.com/article/1292131-overview