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Open vs. Closed Rhinoplasty in Columbus: What is the Difference?

There is no simple answer when comparing open and closed Rhinoplasties, which is why rhinoplasty surgeons in Columbus like myself have been arguing about this topic for decades. Most experienced rhinoplasty surgeons were trained to utilize both techniques and know how and when to use each.  However, because most rhinoplasties performed these days are done through the open approach, younger surgeons only learn this technique.

At Sullivan Centre, I utilize the open approach for most of my patients primarily because visualization of the cartilage and bone structure of the nose is dramatically improved with the open procedure.  When the problem is more easily seen, the correction is inevitably more accurate. I studied this theory in my own practice years ago and found patient satisfaction to be greater with open surgery and more importantly, the need for revision Rhinoplasty surgery in Columbus to be either non-existent or certainly less with this approach.
The argument against open rhinoplasty primarily centers on the external scar in the skin bridge between the nostrils.  This is very thin skin and in nearly every case heals with a scar, which is not noticeable in my estimation. Other arguments include prolonged healing, which I have not found to be true and disruption of the delicate detail of the rim of the nostrils.  This is a legitimate concern, but avoidable if the surgeon is meticulous about the placement of the incision.

When little or no nasal tip cartilage modification is needed, the closed rhinoplasty is preferred. With the closed technique, the rhinoplasty surgeons’ view of the nose structure is compromised because the only incision for access is inside the nose. Adequate visualization is improved with the use of a headlight and experienced surgeons are used to looking at the nose this way.  Each technical change made with the closed approach has to be assessed by feel. This is where experience is so important. The closed approach is perfect for nasal bump removal and for narrowing the nose. It’s however not adequate for most complicated twisted noses, large bulbous nasal tips and major revision cases.

In searching for your Columbus rhinoplasty surgeon, remember first and foremost, EXPERIENCE MATTERS!  An experienced surgeon will know which approach, opened or closed, is right for your particular situation.

Read more about this topic and rhinoplasty surgery in Columbus by accessing my book, “When Your Nose Doesn’t Fit” on our website or pick up a complimentary copy at my office, 7706 Olentangy River Rd. Columbus, Ohio, 43235.

Filed Under: Plastic Surgery Centre, Rhinoplasty

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Columbus Facial Plastics

Today, under the direction of board-certified facial plastic surgeon Dr. Stephen Nogan, Columbus Facial Plastics offers a comprehensive array of surgical and non-surgical procedures and treatments. Each new treatment is carefully tested and evaluated by our board-certified facial plastic surgeon to ensure its safety and efficacy. We are proud to provide education in skin care, non-invasive cosmetic surgery, and plastic surgery in Central Ohio.

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Welcome to Columbus Facial Plastics at The Sullivan Centre.

We believe that healthy, youthful renewal begins with science. Founded in 1996 by Dr. Michael and Christine Sullivan, our practice was the first of its kind in central Ohio. For 20+ years, The Sullivan Centre has led the way in advancing the science of beauty and providing only the safest and most effective surgical and non-surgical treatments for our patients.

I met Dr. Mike, Dr. Chris and the rest of the team in 2014 and have had the incredible opportunity to train and collaborate with Dr. Mike for the past five years. I officially joined The Sullivan Centre in September 2019 and could not be more excited to lead this exceptional practice into the future.

My goal is to provide you with the education and expertise needed to help you feel confident with your decision to pursue surgical or non-surgical treatment. I am proud to be a part of a highly skilled team that delivers personalized care so that you feel comfortable through every step of the process.

In addition to practicing exclusively in facial plastic and reconstructive surgery, I also serve as the medical director for our non-surgical services. We are fortunate to have two of the most experienced aesthetic providers in central Ohio in their respective fields. Dina Maynard and Nancy Cotterman, RN have been caring for patients at The Sullivan Centre for a combined 25 years! You won’t find anyone with more training or skill.

Spend as much time as you need learning more about our team and the services we provide. We are passionate about what we do, and we would love to see you soon.

Dr. Stephen Nogan M.D.
Facial Plastic & Reconstructive Surgeon
Columbus Facial Plastics at The Sullivan Centre