26th January 2020

Behind The Scenes: Opening & Closing A Nose

Whether from injury, genetics, or something else, a shape or size that doesn’t fit in with the rest of your features can knock your confidence and make you feel self-conscious. That’s where my clinic, The Nose Clinic in Harley Street London and Guildford can help. 

As well as offering nose surgery itself, I carry out a detailed consultation before treatment, and have lots of advice to give my patients on aftercare, to enhance and prolong their results. On top of this, I share regular posts and news that covers everything from types of rhinoplasty I can perform, to new technology in the field. 

This post is the first in a series of ‘behind the scenes’ articles, where I’ll go into a bit more detail about some of the nose surgery procedures I can carry out as a Consultant Surgeon. Many of my patients – and potential patients – are interested in what rhinoplasty involves, so today, I’ll talk through how I open and close a nose during nose surgery.

Open rhinoplasty

For this type of nose surgery, a small incision is made near the base of the nasal tip, in the skin between the nostrils, the columella. With this approach, the surgeon is able to see the inside nasal structures better and has the access needed to perform more extensive surgery. With meticulous technique and good healing the scars that form following surgery should not be seen. 

Closed rhinoplasty

This approach uses incisions inside the nostril, and I use it for smaller nose surgeries where only slight adjustments are required. One of the best advantages of this kind of rhinoplasty is that scarring is inside the nose. 

Open tip plasty

Instead of relying on quick surgery to cut away large amounts of tip cartilage, the traditional closed tip plasty, I practise open, structural tip plasty. This re-shapes the nasal tip using stitches and grafts to treat its size or pointedness, and doesn’t affect any of the other structures of the nose. Avoiding removing large amounts of cartilage avoids producing a pinched tip. It can be used to reduce or elongate the tip, help define it and correct the nostrils. Modern tip plasty may also need to move the tip cartilages to give a slimmer, more refined look to the nose. Great experience is needed for this surgery.

Closing the nose

Whatever rhinoplasty you choose, my approach to closing the nose is always the same – meticulous attention to detail so that scars are not visible. In nose surgeries, scarring is unavoidable as we have to cut skin and lining for access. Scars are how nature heals us. With the open and closed approach, great care is taken to place the scars where they will not cause problems and to stitch them very carefully so that when they heal, they cannot be seen. 

Booking your nose surgery

Led by myself, Mr Julian Rowe-Jones, my team here at The Nose Clinic always endeavour to give you the best results from your rhinoplasty. Based in Harley Street London and Guildford you couldn’t be in safer hands for your treatment – so why not book in today?