Frequently Asked Questions in Open Rhinoplasty

Open rhinoplasty is performed by making a minute incision across the columella—the small tissue strip separating the nostrils. Through this incision, the nasal skin and soft tissue envelope are gently elevated, granting the surgeon direct visual access to the underlying osseocartilaginous framework to perform intricate surgical remodeling.

Open nose surgery can be applied to virtually all nasal anatomical configurations. We specifically favor this approach in cases of severe nasal trauma, thick-skinned nasal tips, severe axis deviations, and secondary revision rhinoplasties where direct structural visualization and cartilage grafting are vital. In such complex structural corrections, closed rhinoplasty is generally not the preferred clinical choice.

How Long Does Open Rhinoplasty Take?

Under standard circumstances without severe septal deviation, open rhinoplasty typically requires approximately 2 to 2.5 hours. However, when complex functional pathologies are present, or when extensive cartilage harvesting (from the ear or rib) and structural grafting are required, the operative duration naturally increases.

What Should You Pay Attention to After Surgery?

Following open rhinoplasty, protecting your nose from physical impacts and accidental trauma is of paramount importance. Consume soft, easily chewable foods that do not exert stress on the facial muscles or oral cavity. Refrain from wearing eyeglasses and avoid aggressive tooth brushing until permitted by your surgeon. Keep your head elevated with an extra pillow while sleeping to facilitate lymphatic drainage. Discontinue strenuous exercise and physical sports following your rhinoplasty until medically cleared. Drink ample water to relieve oral dryness caused by temporary mouth breathing. Apply broad-spectrum sunscreen daily for at least one month to shield sensitive healing skin.

Is Bleeding Heavy During Open Rhinoplasty?

The external incision in open rhinoplasty measures merely a few millimeters. Excessive intraoperative bleeding is undesirable for both surgeon and patient, as it impairs anatomical visibility and can prolong post-operative swelling and hematoma resolution. Consequently, surgeons utilize precise anatomical planes and vasoconstrictive infiltration to keep bleeding to an absolute minimum.

Does Loss of Smell Occur After Open Rhinoplasty?

Temporary reduction or alteration in olfactory function can occur after surgery due to internal mucosal edema and temporary swelling within the narrow olfactory cleft. This sensation is transient and resolves completely as swelling subsides and mucosal airflow normalizes.

When Do Bruising and Swelling Subside?

Resolution timelines vary according to individual skin thickness and the extent of intervention. Bruising typically begins turning yellowish and fades within 7 to 10 days. Post-operative edema peaks within the first 48 hours following surgery. While the vast majority of visible swelling dissipates over the first few weeks, complete resolution of minor residual edema can take up to several months.

Open Rhinoplasty Surgical Results

 

Rhinoplasty overview: Detailed Rhinoplasty Guide

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