rustygardener172 said:Regarding open versus closed techniques... The open method was the original standard for nose surgery. Closed technique is newer; it wasn't used this way in the past. Now, the closed approach has become common practice, while the open method is reserved for more complex cases. There’s a reason the industry shifted toward closed—recovery is significantly easier and you don't deal with visible scarring. I realize I’m just rambling here, as I'm certainly no medical expert, nor is the girl claiming the open method is superior. 😁
In the two years since my own nose surgery—which, frankly, I don't consider a success—I have researched open and closed techniques extensively, specifically looking at the standards used in the US.
It is common knowledge that complex aesthetic procedures are performed "across the pond," and that there are specialists who focus specifically on secondary rhinoplasties (which requires immense experience). In fact, most dissatisfied Europeans travel to the States specifically for revision surgery.
I have also read comments from local surgeons here who claim that open rhinoplasty is largely obsolete and rarely used nowadays.
That is simply false. Most top-tier surgeons abroad still utilize open rhinoplasty, particularly when dealing with noses that have been over-shortened or excessively depressed, where cartilage grafts are necessary.
The logic is simple: an open rhinoplasty provides excellent visibility of the internal nasal structure, allowing for precise graft placement. This is a stark contrast to closed rhinoplasty, where the surgeon is essentially working "blind."
Ultimately, it all comes down to selecting a qualified surgeon. I followed the blog of a woman who was absolutely devastated by her first surgery—her nose was too short and lumpy—but after a second procedure via open rhinoplasty with a specialist, her results were excellent and the scar is invisible.
So, I find it baffling that surgeons in America 😕 insist that open rhinoplasty is outdated and no longer used by the global surgical community. Based on everything I have researched and the experiences of people seeking revisions abroad... the vast majority underwent open rhinoplasty. While the recovery might be longer, the results are much more predictable and the scarring is negligible.
On the other hand, if a nose needs further shortening following an initial surgery, using a closed technique would be the logical choice.
I realize I've written quite a bit here😁, but I hope this information proves useful to someone. Be extremely careful about whom you choose as your surgeon. Please, keep sharing your experiences.😉