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Open Rhinoplasty

Open rhinoplasty is a technique in which a surgeon opens the internal nasal structure to observe the structure, such as the nasal bone, nasal septum, and nasal cartilage, clearly to adjust the nasal structure delicately. This technique is widely popular today.   

Ideal for

  • A person with less nasal skin thickness, a short nose or bulbous nose, and who desires a longer-looking nose 
  • A person with a high nasal hump or a crooked nose
  • A person who desires rhinoplasty for a beautiful, pointed nose
  • A person with a large or rose apple-shaped, or wide nose
  • A person with asymmetrical nostrils that cause a respiratory issue
  • A person with experience with filler or liquid silicone injection
  • A person with several rhinoplasty corrections, capsular contracture, and thin skin

Advantages

  • It is ideal for all cases and fulfills all solutions. 
  • A surgeon can observe the whole nasal structure and accurately fix the flaw. 
  • A surgeon can better adjust the patient’s nose from the structure.
  • The nasal tip’s angle is adjusted using the septal cartilage.   
  • It minimizes the chance of silicone extrusion or a deviated nose. 
  • The surgery meets the national and international standards. 
  • The nose shape is nice with a strong nasal base and pointed tip.
  • This technique remedies respiratory issues. 

Recovery period

Recovery period: Approximately 5-7 days, depending on the individual. 

After
Before

Open Rhinoplasty

After
Before

Open Rhinoplasty

After
Before

Open Rhinoplasty

After
Before

Open Rhinoplasty

After
Before

Open Rhinoplasty

After
Before

Open Rhinoplasty

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Open Rhinoplasty Process

Consultation

A surgeon analyzes the face structure and chooses the most appropriate nose shape. 

Choose the nose shape

The patient presents the reference or design of the nose shape to a surgeon.

Anesthetic injection

The patient feels comfortable without pain during the procedure. 

Performing rhinoplasty

The surgical team performs the surgery following the chosen technique. 

ดูแลหลังทำ

A surgeon gives advice and schedules a follow-up.

Preparation Instructions

Pre-surgery

  • Stop smoking at least 4 weeks before surgery.
  • No alcoholic drinks 1-2 days before surgery.
  • Stop taking all types of vitamins for at least one month before surgery, particularly vitamins affecting blood coagulation, such as Vitamin E, fish oil, and coconut oil. 
  • No fermented foods or seafood.
  • Wash hair the day before the surgery. No make-up on the surgery day.
  • Do not wear contact lenses on the surgery day. Wear glasses, if needed. 
  • No manicure and pedicure, or nail extension. Clean fingernails and toenails well. 
  • Nothing per Oral (NPO) for 6-8 hours before surgery, except for the surgery where the local anesthetic is applied. 
  • Prepare the patient’s mental state; not too excited. 
  • The patient should be accompanied by a friend or relative. Open rhinoplasty applies an anesthetic that may cause wooziness.

Post-surgery

  • Apply cold compression during the first few days after surgery to relieve swelling and stop bleeding. 
  • Elevate the head to heal swelling quicker. Do not lie on your back or on the side to avoid damage to the nose. 
  • No exposure to the splint after surgery, and no activities that risk impact on the nose.
  • Apply warm compression to minimize bruises after 4-5 days when the bleeding stops. 
  • Avoid dust to prevent coughing and sneezing.
  • Take a painkiller when feeling pain. See the doctor to remove stitches. 
  • Do not blow the nose forcefully. Drink lots of water to relieve nasal congestion. 
  • Avoid wearing glasses on the nose bridge. 
More Details

Frequently Asked Questions

How long does it take after open rhinoplasty to take shape?

Generally, swelling heals within the first 1-2 weeks after surgery, and will take shape within one month.  

An anesthetic is applied, so there is no pain during the procedure. Mild pain is possible after the first two days of surgery, but it will improve afterward.

If the patient has a flaring nose and wishes to reduce the alar nasi, it can be done at the same time with open rhinoplasty.  

Stitches can be removed after 1-2 weeks, depending on the technique used.