Closed or open nose surgery???

Is closed or open nose surgery better?

Closed or open rhinoplasty | Nose surgery is performed in two ways. Open and closed surgery are two different approaches in nose surgery. In the closed surgery method, the incisions are hidden inside the nose. In the surgical method of opening the outer incision on the columella (The fleshy part between the nostrils) created and the nostrils are separated.

In cases where easier access and increased vision are needed, open rhinoplasty is recommended. In this method, the surgeon has access to the structure of the nose, especially the tip of the nose. closed nose surgery It is done for minor corrections and small changes in the shape of the nose. This method is less invasive and the healing process is faster. Since the incisions are made inside the nose, there will be no visible scars.

Stay with us with interesting and readable content دکتر مجید راستی Of nose surgery و فوق تخصص جراحی پلاستیک اصفهان :

What happens during rhinoplasty?

Before rhinoplasty, the anesthesiologist uses a mixture of anesthetic gas and intravenous medicine. Intraoperatively, using pulse oximetry (A device for measuring the amount of oxygen saturation in the blood) and ECG or electrocardiogram (To check heart rhythm) The vital conditions of the patient are continuously monitored. The surgical team is ready for any emergency.

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Examples of nose surgery by Dr. Majid Rasti

در زمان جراحی زیبایی بینی در اتاق عمل پس از بیهوشی، جراح بینی برش‌هایی ایجاد می‌کند. Rhinoplasty can be open or closed. Through these incisions, the skin that covers the bones and cartilages is raised. In this case, the doctor easily changes the structure of the nose. If the nose is too big, the surgeon may use a cartilage graft.

After the nose surgery, when the necessary incisions are made and the structure of the nose reaches the shape of the surgeon's opinion, the skin and tissue of the nose are corrected and sutured again.. After the surgery, the nose should be bandaged for a few days. Then, with the instructions of the doctor and the necessary examinations, the bandages are opened and only the glue is placed on the nose. After the surgery, the patient will be monitored by a nurse in the recovery room. This usually takes a few hours.

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The importance of nasal massage after rhinoplasty

What are the risks and complications of rhinoplasty?

Some complications of nose surgery are::

Nasal obstruction due to not being straight or deviated nasal septum, regrowth or swelling of cartilages or intranasal structures
Sinus infections, or recurring sinus problems
The need for re-surgery due to the patient's dissatisfaction with the appearance of the nose and aesthetic features
In rare circumstances, severe bleeding from the surgical site can lead to the need for blood products or blood transfusions
Chronic discharge or excessive dryness of the nose or scaling of the nose after surgery
Chronic sinus headaches
Damage to the eye and related structures, which is rare
Permanent numbness of the upper teeth, palate or face
Allergic reaction to sutures, dressings or antiseptic solutions
Prolonged pain
Impaired recovery, often related to smoking or diabetes
Septal hole means creating a permanent hole between the two sides of the inner blade of the nose
Weakness or loss of sense of smell or taste
The formation of a large blood clot (هماتوم) Below the surgical incision site, which may require drainage
Keloids and hypertrophic scar, which are actually thickening of the scar and site of surgical incisions. Keloids may be itchy, annoying, and unsightly, but they are not a health threat
Separation of wound edges
Short-term nausea after general anesthesia and risks of anesthesia
Breathing problem after nose job
Skin discoloration and swelling
Asymmetric appearance and crooked nose after surgery
Nasal constriction after surgery