How is Open Nose Surgery (Rhinoplasty) Performed?

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On 19/03/2025

How is Open Nose Surgery (Rhinoplasty) Performed?

Nose aesthetics is an important surgical procedure that balances facial features and improves a person’s appearance. Rhinoplasty is the general term for nose aesthetic surgeries, and there are various techniques used for this procedure.

One of these methods is open nose surgery (open rhinoplasty). In this article, we will discuss open nose surgery in detail and answer frequently asked questions about this technique.

What Are the Differences Between Open and Closed Nose Surgery?

Open and closed nose surgeries refer to different techniques for performing rhinoplasty. Essentially, both methods are used to change the shape of the nose, but the application methods differ.

Open Nose Surgery: In this method, a small incision is made at the bottom of the nasal tip, and the skin is lifted. This allows the surgeon to have a better view of the internal structure of the nose, enabling more precise adjustments. This method is preferred for more complex changes that require a detailed reshaping of the nose.
Closed Nose Surgery: In closed rhinoplasty, incisions are made inside the nostrils. This avoids any visible scars on the outside of the nose. However, the surgeon has a more limited view of the nose's structure, which can sometimes make delicate work more difficult. This method is generally used for simpler nose shape changes.

How is Open Nose Surgery Performed?

Open nose surgery is typically performed in the following steps:

Anesthesia Application: First, general anesthesia is administered to the patient. This ensures the patient remains unconscious and free of pain during the surgery.
Making the Incision: At the beginning of the surgery, a small incision is made at the base of the nose, between the nostrils. This incision creates the necessary space to alter the nose's structure.
Reshaping the Nasal Structure: The surgeon adjusts the nasal bones, cartilage, and other structures to the desired shape. At this stage, excess bone or cartilage may be removed, or additional materials may be added to achieve a more symmetrical appearance.
Healing and Suturing: After the procedure is complete, the incision areas are carefully stitched, and the skin is repositioned over the underlying structures.
Shaping the Nose: The surgeon makes final adjustments to the nasal tip and bridge, which is a critical step in ensuring the success of the aesthetic result.
Minimizing Scarring: The incision made during open nose surgery is placed within the natural lines of the nose, so scars typically fade over time and become less noticeable.

Advantages and Disadvantages of Open Rhinoplasty

Better Visual Access: The direct view of the nasal structure allows for more precise and controlled modifications.
Suitable for More Complex Changes: Open rhinoplasty is ideal for addressing complex issues such as large nose bridges, nasal tip deformities, or internal issues like septum deviations.
Hidden Scars: The incision is placed in a natural crease under the nose, so the scars are usually minimal and not easily visible.

Longer Recovery Time: The recovery process for open rhinoplasty is generally longer compared to closed rhinoplasty.
Increased Risks: Like any surgical procedure, open nose surgery carries risks such as infection, bleeding, or complications related to anesthesia.
Possible Visible Scars: Though rare, there is a possibility of permanent scarring at the incision site.

Recovery Process After Open Nose Surgery

The recovery process after open nose surgery varies for each individual, but it generally follows these steps:

First Few Days: Swelling and bruising are common in the initial days. Nasal packing may be used, which is typically removed after 2-3 days.
First Week: Plaster or bandages on the nose are usually removed around the 7th day. Swelling will still be present, but it will begin to subside over time.
First Month: Significant swelling decreases, but full recovery may take several more months.
6 Months and Beyond: The nose reaches its final shape, and the full results of the surgery become apparent. Patients should continue to take care of their noses until healing is complete.

Open Nose Surgery Prices

The cost of open nose surgery can vary depending on several factors. These factors include the surgeon’s experience, the complexity of the surgery, the materials used, and the geographical location. Prices for open rhinoplasty in Turkey and worldwide can differ, but the average cost typically ranges from 75,000 TL to 150,000 TL. Prices may also vary based on the patient’s health insurance coverage and the facilities provided by the hospital.

Who is Suitable for Open Nose Surgery?

Open nose surgery is generally recommended for individuals who need significant changes to the shape of their nose. The following conditions may make open rhinoplasty an appropriate choice:

Those with large nasal humps or cartilage issues.
Individuals with noticeable drooping or asymmetry of the nasal tip.
Patients who have previously undergone rhinoplasty and require a revision procedure.
People with functional or aesthetic problems inside the nose (such as a deviated septum).

However, not everyone who desires a nose aesthetic needs to choose this method. For simpler shape changes, closed rhinoplasty may be sufficient.

Open nose surgery is an effective method for improving facial harmony and helping individuals achieve a more natural appearance. As with any surgical procedure, proper planning, choosing the right surgeon, and ensuring a healthy recovery process are essential.

By following pre- and post-operative advice from the doctor, patients can achieve the best possible results both aesthetically and functionally.

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