Open Technique Rhinoplasty

Abstract

Open rhinoplasty has its main indication in recognizing the difficulties inherent in reduction rhinoplasty techniques. Open structure rhinoplasty combines the open (external) approach to rhinoplasty with innovative nasal restructuring techniques. The open approach to rhinoplasty provides the adequate anatomical exposure, necessary to diagnose the deformities present, as well as to execute the required maneuvers of modeling, sculpturing, reduction, and symmetry adjustment. More emphasis is placed on reshaping the nasal contour than on reducing it. The idea is to do only what is necessary either by subtracting or by adding to the nasal structure where indicated. Sophisticated tip restructuring techniques such as dome division with suturing maneuvers and sutured-in-place columellar, tip, and alar grafts can be performed in an exacting manner. The author describes the technique.