Facial Plastic Surgery in Philadelphia - Dr. Tim Greco
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Closed Rhinoplasty

Many people who choose to explore their rhinoplasty options learn that there are different techniques when it comes to cosmetic nose surgery. Many Philadelphia plastic surgery patients interested in rhinoplasty come to our practice to learn more about how Dr. Timothy Greco can help them improve their overall facial appearance.

As a facial plastic surgeon, Dr. Greco recognizes the importance of how the nose affects the overall look of the face. His goal is to give you a result that fits the characteristics of your face without an over-operated "nose job" look.

Timothy M. Greco, MD, PC is limited solely to excellence in aesthetic surgery of the face. Dr. Greco treats patients from Philadelphia, Main Line, New Jersey, and Delaware. To schedule your appointment at Timothy M. Greco, MD, PC, request a consultation online, or call (610) 664-8830 today.

Closed Rhinoplasty Technique

The "closed rhinoplasty" is a technique whereby corrections and enhancements of the nose are made internally through the nostrils, avoiding the need for an incision at the bottom of the nose. This technique may be beneficial for Philadelphia, Main Line, New Jersey and Delaware patients who are having cosmetic nasal surgery for the first time.

Most often, facial cosmetic surgery specialists offer their patients both the open and closed approach to their patients. Requests made by our Philadelphia area and New Jersey rhinoplasty patients can be addressed using the closed technique, however, this approach is best suited for those looking for more subtle or uncomplicated changes.

One of the main differences between an open and closed approach is that the closed approach does not involve the use of the inverted v incision on the base of the nose. Therefore, the closed approach yields no outward scarring.

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Frequently Asked Questions

Why is the closed rhinoplasty approach performed?

Some nasal concerns for our closed rhinoplasty patients can be addressed using this approach, including subtle, uncomplicated changes to the shape and size of the nose. Often, the reason for choosing an open technique is due to the need for a more dramatic and complicated modification.

What will the scarring be like with the closed approach?

Because there is no external incision used in this technique, there will be no conspicuous scarring. Incisions are placed on the inside of the nose, and any scarring will likely not be visible after your nose surgery procedure at our practice near Philadelphia.

What are the recovery benefits to a closed rhinoplasty?

The closed approach has less tissue dissection and, therefore, less swelling post-op. Additionally, recovery time may be quicker when compared to an open rhinoplasty, depending on the complexity of the procedure.

Who is an ideal candidate for a closed rhinoplasty procedure?

Good candidates for a closed rhinoplasty procedure usually have uncomplicated deformities, tip symmetry, no history of significant trauma, and a midline bridge. Severely twisted or asymmetric noses are not ideal for this type of approach.

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What is the main difference between the open and closed rhinoplasty approach?

The open approach is characterized by a small v-shaped incision that divides the skin between the two nostrils so it can be lifted up off the tip of the nose. This allows the surgeon to work on the nasal tip cartilage in its natural position, as well as asymmetries of the bony and cartilaginous bridge. It also allows better access to evaluate and correct a variety of nasal concerns.

With the closed rhinoplasty approach, there is no external skin incision. The closed technique can yield beautiful results, but may be better suited for those who need less complicated changes.

Is one approach better than the other?

Depending on your specific nasal concerns you would like to address, Dr. Greco will help determine which procedure is best for you during your rhinoplasty consultation at our Philadelphia area practice.

The open approach allows for more complicated changes to be made to the nose, including the reconstruction of the tip cartilages or repair of severe bridge asymmetries. Depending on your specific needs, one technique may be preferred over the other.

Will scars be obvious from an open procedure?

Since the incision used for an open rhinoplasty (called the columellar incision) is shaped as an inverted v, when the incision heals it is almost imperceptible.

Will there be more nasal trauma due to having an open rhinoplasty rather than a closed rhinoplasty?

The underlying nasal structures are disrupted less with the open technique (as opposed to the closed technique where cartilages often need to be separated from one another to allow for the exposure of the nasal bridge). With the open approach, the nasal skin is elevated off the tip cartilages and nasal bridge allowing them to maintain their natural relationships. This allows greater access to perform more complicated and intricate rhinoplasty maneuvers.

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