Open Rhinoplasty

What is Open Rhinoplasty?

Open rhinoplasty is a surgical technique that involves fully opening the nasal structure to reconstruct and reshape the nose. The procedure corrects various nasal issues, including:

  • Short or underdeveloped noses
  • Deviated septum (crooked nose)
  • Thick or bulbous nasal tips
  • Excessive humps or uneven nasal bridges
  • Structural deformities caused by prior surgeries or non-surgical procedures, such as filler injections or thread lifts

Unlike the closed method, open rhinoplasty provides direct visibility of the nasal framework, allowing the surgeon to make comprehensive adjustments. This technique is particularly beneficial for complex or revision cases where significant modifications are required.

Who is Suitable for Open Rhinoplasty?

Open rhinoplasty is ideal for individuals who:

  1. Have undergone previous closed rhinoplasty multiple times but are dissatisfied with the results.
  2. Have had non-surgical enhancements, such as filler injections or thread lifts, that resulted in complications.
  3. Require significant adjustments to the nasal structure, such as:
    • Deviated or asymmetrical noses
    • Short or thick nasal tips
    • Excessive scar tissue or silicone residue from prior procedures

Advantages of Open Rhinoplasty

  • Full Structural Reconstruction: The entire nasal structure can be addressed and reshaped.
  • Comprehensive Corrections: Effective for complex cases, including crooked noses, short tips, or thick nasal skin.
  • Extended Nasal Septum: Enables elongation of the nasal septum, enhancing nasal projection and height.
  • Reduced Implant Shifting: Decreases the risk of silicone displacement or asymmetry.
  • Prevents Thinning or Protrusion: Minimizes the risk of silicone thinning through the nasal tip.

Limitations of Open Rhinoplasty

While open rhinoplasty offers numerous benefits, it also has some limitations:

  • Complex Procedure: The process is intricate and requires longer surgical time.
  • Visible Incisions: External incisions on the columella (base of the nose) may leave minor, but typically unnoticeable, scars.
  • General Anesthesia: Open rhinoplasty often requires sedation, increasing overall costs.
  • Recovery Time: The downtime is longer compared to the closed technique.
  • Surgeon Expertise Required: This procedure demands a highly experienced and skilled surgeon.

Cost of Open Rhinoplasty

New Open Rhinoplasty
99,000 THB
(Original Price 179,900 THB)
Nasal hump shaving
Septal wall correction
Nasal tip reduction
Nasal base reshaping
Ear cartilage graft for tip support
2 PCL synthetic rib grafts (for extended projection and droplet shape)
General anesthesia by a professional anesthesiologist
Stitch removal and splint care
Wound cleaning post-surgery
1-Year Guarantee
Basic medication package (antibiotics and painkillers) +3,000 THB

Additional Notes:

  • Procedures such as alarplasty (nostril reduction) are not included.
  • Costs may vary depending on individual conditions assessed by the surgeon.
Revision Open Rhinoplasty
119,000 THB
(Original Price 179,900 THB)
Nasal hump shaving
Septal wall correction
Nasal tip reduction
Nasal base reshaping
Ear cartilage graft for tip support
2 PCL synthetic rib grafts (for extended projection and droplet shape)
General anesthesia by a professional anesthesiologist
Stitch removal and splint care
Wound cleaning post-surgery
1-Year Guarantee
Basic medication package (antibiotics and painkillers) +3,000 THB

Additional Notes:

  • Procedures such as alarplasty (nostril reduction) are not included.
  • Costs may vary depending on individual conditions assessed by the surgeon.

Steps Involved in Open Rhinoplasty

  1. Incision Placement: A small external incision is made at the columella (base of the nose) and extended internally. The nasal skin is lifted to fully expose the bone and cartilage.
  2. Refining the Nasal Tip: For thick or bulbous tips, excess fat and tissue are removed (defatting) to achieve a slimmer contour.
  3. Removal of Residue: If fillers, liquid silicone, or scar tissue are present, they are carefully extracted.
  4. Reconstructing the Framework: Adjustments are made to the bone, cartilage, and septum based on the desired outcome.
  5. Implant Insertion: Custom implants or cartilage grafts (e.g., from the ear or synthetic ribs) are used to enhance projection.
  6. Closure and Recovery: The incisions are sutured, a nasal splint is applied, and antibiotics are administered.
  7. Post-Operative Care: Patients can typically return home the same day but require regular follow-ups to monitor healing.

Pre-Surgery Preparation for Open Rhinoplasty

To ensure a smooth procedure and recovery, patients should:

  • Inform the Surgeon: Disclose any medical conditions, allergies, or medications (especially aspirin or ibuprofen). Bring hospital records if available.
  • Stop smoking at least 4 weeks before the surgery
  • Avoid consuming alcohol for 1–2 days prior to the surgery
  • Dietary Restrictions: Avoid fermented foods, seafood, and vitamin supplements (e.g., Vitamin E, fish oil, ginseng) for 1 month prior.
  • Pre-Surgery Hygiene: Wash hair thoroughly, remove nail polish/extensions, and avoid makeup on surgery day.
  • Contact Lenses: Do not wear them; opt for glasses instead.
  • Fasting: Avoid food and drinks 6–8 hours before surgery (except for local anesthesia cases).
  • Mental Preparedness: Stay calm and ensure someone accompanies you on the surgery day.

Post-Operative Care for Open Rhinoplasty

  1. Cold Compresses: Apply cold packs for the first 1–2 days to reduce swelling and stop bleeding.
  2. Elevated Head Position: Sleep with the head elevated to reduce swelling. Avoid lying face down or sideways.
  3. Avoid Nasal Pressure: Do not touch, press, or blow your nose forcefully.
  4. Protect the Nose: Wear a splint as advised and avoid physical activities that risk nasal injury, such as running or jumping.
  5. Warm Compresses: After 4–5 days, use warm compresses to reduce bruising.
  6. Dietary Caution: Avoid spicy, salty, and hot foods that may cause facial swelling. Refrain from alcohol and smoking.
  7. Medication Compliance: Take prescribed antibiotics and pain relievers.
  8. Avoid blowing your nose forcefully to prevent bleeding or damage to the nasal structure. Instead, drink plenty of water to help relieve nasal congestion naturally.
  9. Follow-Up Appointments: Return to the clinic for stitch removal and follow-up assessments.
  10. Avoid Glasses: Do not wear glasses on the nasal bridge until cleared by your doctor.

Why Choose Medmetic for Open Rhinoplasty?

  • Top-Tier Standards: Medmetic adheres to the same rigorous standards as Meko Clinic.
  • Expert Analysis: Surgeons provide case-by-case facial assessments for results that harmonize with each patient’s features.
  • State-of-the-Art Facilities: Operating rooms are designed for safety and precision.
  • Specialized Techniques: Highly skilled surgeons with advanced techniques ensure safety and superior outcomes.
  • Comprehensive Aftercare: Continuous monitoring and care throughout the healing process.
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