Open Rhinoplasty Houston

Maximize Results with Open Rhinoplasty for Comprehensive Nose Reshaping

Open rhinoplasty is a surgical technique for nose reshaping surgery. This approach provides the plastic surgeon with maximum access to the inner structures of the nose, including bone and soft tissues. This surgical approach may be the method that will produce the most attractive outcome.

What is an open rhinoplasty?

An open rhinoplasty involves placing an incision at the base of the columella, the strip of natural skin and cartilage that separate the nostrils. This allows the surgeon to gain access to the entire inner nose structure, both cartilage, and bone, both of which may require surgical alterations. While this approach involves an incision, the placement at the base of the columella allows it to heal to a point where it is virtually invisible.

Who is a candidate for an open rhinoplasty?

Several nose shape conditions are best resolved with an open rhinoplasty in Houston:

Nose shape requires significant alteration
The nose was broken and needs correction
Nasal tip requires extensive reduction
Nose bridge is crooked
Inner nose structure requires correction for breathing function
A primary rhinoplasty requires correction
The nose requires cartilage grafting to add height to the nose bridge

Considering altering your nose? Choose the right surgeon for you

If you are unhappy with the appearance of your nose and are considering a “nose job,” it is imperative that the procedure is performed with the latest techniques. At Eisemann Plastic Surgery Center in Houston, we are often called upon to “fix” a poorly performed rhinoplasty that has given the patient aesthetic or breathing problems, or both. When the inner structure of the nose is altered, it is an extremely delicate procedure. In some cases, the nose bridge is too low, or due to a lack of inner support, the nasal bridge can collapse. Other issues that have led patients to our doors for a revision include:

Nose still too large
The nose is now too small
Nostrils are too long, pinched, or asymmetrical
Pinched nose tip
The nasal bridge appears flat or concave
Nose is asymmetrical
Collapsed nose bridge
Nose bridge enhancement failed

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Open rhinoplasty surgery – what to expect

Open rhinoplasty is typically performed under general anesthesia and will not cause you any pain or discomfort. Prior to your surgery, an extensive discussion regarding the changes to your nose will have taken place, and a custom surgical plan is created. Once you are “under,” based on what is necessary in your case, the inner nose structure is surgically accessed, and the bone and cartilage are meticulously altered to create a balanced, harmonious facial structure.

Bone and cartilage may be removed or added based on individual needs. If the patient has breathing issues (deviated septum), this will be corrected in the same surgery. Once the alterations are completed, the incision site is sutured, and the nose is protected with a specialized dressing.

Recovery from open rhinoplasty

Initially, the corrected nose structure will be swollen, and you can expect bruising and some discomfort, which is managed with prescription pain medication. As the days pass, the swelling reduces and bruises fade, with the new nose shape becoming visible. The majority of swelling fades in about two months but will continue to improve in the months following your surgery.

During your recovery, you must avoid all strenuous activities, sleep with your head elevated, and avoid any activity that could lead to an impact. Wear clothing with front closures, and do not wear glasses for at least four weeks. Wear sunscreen when venturing out into the sun.

Why choose us?

At Eisemann Plastic Surgery in Houston, your rhinoplasty will be performed by one of the leading plastic surgeons in the Houston area. The father-son team of plastic surgeons at our practice has gained a reputation for excellence and are perfectionists in the performance of nose reshaping surgeries. When under their care, you can expect your journey to be supported with warm, compassionate care.

Open Rhinoplasty FAQs

Where exactly is the incision placed during an open rhinoplasty?

The incision is made at the base of the columella, which is the strip of skin and cartilage that separates the nostrils. This placement allows it to heal to a point where it is virtually invisible over time.

Why would a surgeon choose open rhinoplasty over the closed technique?

Open rhinoplasty provides maximum access to the entire inner nose structure, including both bone and cartilage, making it ideal for cases requiring significant reshaping. This comprehensive visibility allows for greater precision during more complex nasal corrections.

Can open rhinoplasty fix breathing problems at the same time as cosmetic changes?

Yes, if a patient has a deviated septum or other structural issues affecting breathing, these can be corrected during the same open rhinoplasty procedure. Combining functional and cosmetic corrections in a single surgery is a common approach at Eisemann Plastic Surgery Center.

What types of nose concerns are best addressed by open rhinoplasty rather than closed?

Open rhinoplasty is particularly well-suited for noses that require significant alteration, extensive nasal tip reduction, correction of a broken nose, or cartilage grafting to add height. It is also the preferred approach when a primary rhinoplasty requires correction.

How long does the swelling last after open rhinoplasty?

The majority of visible swelling fades within about two months, but subtle improvements continue for several months following surgery. The Eisemann father-son surgical team will monitor your progress closely throughout recovery.

Why does Eisemann Plastic Surgery Center see so many patients for rhinoplasty revisions?

The practice is frequently called upon to correct poorly performed rhinoplasties that have caused aesthetic or breathing problems. Their expertise in revision cases reflects the advanced skill set required to address complex nasal corrections.

Can I wear glasses after open rhinoplasty surgery?

Patients are advised to avoid wearing glasses for at least four weeks following their rhinoplasty to protect the healing nasal structures. Alternative options, such as taping glasses to the forehead or using contacts, can be discussed during your pre-operative appointment.

What kind of anesthesia is used for open rhinoplasty at the Eisemann Plastic Surgery Center?

Open rhinoplasty is typically performed under general anesthesia to ensure the patient experiences no pain or discomfort during the procedure. A custom surgical plan is created prior to surgery based on the specific changes discussed during your consultation.