Closed vs. Open Rhinoplasty
There are two ways to perform nose plastic surgery: closed rhinoplasty or open rhinoplasty.
Closed Rhinoplasty
A closed-approach rhinoplasty is Dr. Williams’ preferred approach to nose surgery in most cases.
Closed rhinoplasty surgery, also called endonasal rhinoplasty, is performed through access incisions in the inside of the nose. It leaves no visible scarring since incisions are made on the inside of the nose and patients have less bruising, swelling, and discomfort after the operation.
This approach also shortens recovery time and postoperative healing.
Open Rhinoplasty
In an open rhinoplasty, the surgeon makes an incision in the columella, the fleshy column of the nose sandwiched between the two nostrils.
The nasal skin is then lifted back to expose the underlying cartilage and nasal tissue. Additional incisions are placed inside the nose.
The incision placed outside typically heals well and, if executed and sutured carefully, rarely causes cosmetic problems. To make the incision less noticeable, they are placed in a zig-zag formation instead of a straight line.
Rhinoplasty Surgery Consultation
During a rhinoplasty consultation at the Plastic Surgery Center at Williams, Dr. Williams uses computer-generated imagery (CGI) during the consultation to give patients the best opportunity to visualize what can be achieved through plastic surgery for their unique features.
CGI allows Dr. Williams to manipulate a photograph to explain and develop surgical goals, right before the patient’s eyes.
Just like no two patients have the same medical situation and goals, no two noses are the same.
Dr. Williams partners with each patient to create a customized nose plastic surgery plan that accentuates their natural characteristics and achieves their desired goals.
Male & Female Rhinoplasty
Rhinoplasty is different for men and woman in many ways.
Facial aesthetics, or what surgeons call “ideal aesthetic standards,” differ between the sexes, especially when it comes to the nasolabial angle — the angle between the nose and upper lip.
The more ideal aesthetic standard for a man’s nose is a smaller angle — about 90 degrees — while for a woman, it is a little more opened, about 100 to 105 degrees.
This is based largely on average male and female heights. The shorter the individual, the more open the angle should be.