Closed Rhinoplasty Surgeon, Best Rhinoplasty Procedure

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Are characteristically subtle and natural
Focus on strengthening and restructuring the cartilage framework of the nose nose, and
Correct abnormalities caused by weaknesses in the nasal framework.
   
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  Closed Rhinoplasty Procedure
 

To create that desired naturally balanced appearance, Dr. Binder generally performs the entire rhinoplasty procedure from the inside of the nose (closed rhinoplasty technique), so there are no visible signs of scarring. The closed technique is performed without making an incision across the columella (the delicate island of tissue between the nostrils).  Incisions in this operation are made inside the nostril (endonasal), where they will be completely invisible after healing.

Many new surgeons use the open technique to access the nasal skeleton for easy viewing.  It is generally considered a simpler technique that requires a shorter learning curve for the surgeon which may explain why many medical schools today only teach the open approach.  Partly because of his many years revising or correcting primary rhinoplasty procedures, Dr. Binder has found that the open technique has some potential drawbacks. In addition to the possibility of causing significant scarring on the outside of the nose, the open technique also has an increased potential for skin shrinkage, longer duration of swelling and is generally more unpredictable than the closed structure technique.  Also, sometimes the nose simply can’t be "opened" for the 3rd or 4th time without an increased risk of complications.  A growing group of patients that have had several open nasal procedures present a new and formidable challenge to the revision rhinoplasty specialist.  In these situations, only a few surgeons have the ability to apply the revision closed structure rhinoplasty techniques to effectively treat the problem.

Dr. Binder will use the open technique in special cases such as when total tip (lobular) reconstruction is necessary in complex revision rhinoplasty cases or in patients with a history of cleft lip disorder. For these special cases, Dr. Binder strongly believes that the revision rhinoplasty specialist must have the ability and expertise to perform both open and closed rhinoplasty.

Dr. Binder believes the closed rhinoplasty technique produces more stable and predictable results in both primary and revision rhinoplasties.  In experienced hands, it offers great latitude and flexibility to allow a plethora of reshaping possibilities. Bone and cartilage can be removed or, in some cases, taken from another part of the patient’s body and added in for better shape or support.

 
 
 
Closed Rhinoplasty Recovery


Among surgeons who are experienced in the closed technique, there is general agreement that the open approach is too invasive in patients that may need minor changes or no tip work at all. Opening the nose in such patients creates unnecessary additional time in surgery which often leads to more swelling and bruising.  This additional trauma generally requires more time for healing.

A very skilled rhinoplasty surgeon using the closed or endonasal technique, can alter the nasal anatomy and create an aesthetic and beautiful nose with the least amount of trauma, and thereby improves healing time and minimizes scarring.

Rhinoplasty is arguably the most artistic and technically difficult operation in plastic surgery and it requires a dedicated surgeon with a true understanding of the nose, its anatomy, and its response to surgical maneuvers.  Ideally, a skilled rhinoplasty surgeon is well versed in all of the above techniques and will diagnose the aesthetic and/or functional problems for each patient's nose. Based on his expertise, he will then choose the most appropriate method to obtain the best results with the least amount of swelling for every patient .