Plastic Surgery

Why we recommend Open Rhinoplasty over Closed Rhinoplasty

May 9, 2011

One of the great debates among Plastic Surgeons is whether to use an Open Rhinoplasty or a Closed (Endo-nasal) Rhinoplasty. Sometimes, this debate is referred to as the “Scar Wars.” The traditional approach was Endo-nasal, for which all the surgical incisions are made inside the nose. Although this technique avoided any external or visible scars, it limited the Plastic Surgeon’s visibility and ability to perform certain suturing techniques to modify the cartilaginous structures of the nose.

We at Advanced Aesthetics have embraced the Open Rhinoplasty approach, which uses a short, stair-step or chevron-shaped incision across the columellar (the vertical pole of skin that separates the nostrils). The greatest advantage of this technique is that it allows the surgeon to better visualize the nose. The short incision, located in a low-lit area of the nose, is often imperceptible after it heals. This technique, however, exposes the cartilage structure of the lower nose, which allows for greater precision when reshaping the nose. The surgeon can see better to remove tissue and cartilage. More importantly, the surgeon can see with greater precision what structures are left.

The Open Rhinoplasty technique also allows Plastic Surgeons to use non-destructive techniques on the cartilage. We are therefore better able to reshape the nasal cartilage with sutures and to precisely fix grafts (or extra structures) onto the nose with greater precision and strength. These stronger sutures will retain their position against the pull or push of the subsequent scar tissue, meaning the nose will retain its new shape better, reducing complications and the need for additional surgeries.

What all this means is that if we can see the internal structures of your nose better, modify its structure more precisely, and keep the structures in position more securely, then we can achieve your desired nasal appearance with more predictability.

We offer Computerized Photo Imaging during our free Cosmetic Plastic Surgery Consultation to enhance your experience and understanding of what goals are realistically obtainable. This is an excellent communication tool to match your goals with the Plastic Surgeon’s understanding.

Call today to schedule a free consultation with one of our Board Certified Plastic Surgeons to learn more.

Reviews & Testimonials

Martha Traylor
5 stars

Dr.Gronka, as well as his staff are very professional and helpful.

Feb 25, 2022
Dixie Taylor
5 stars

When searching for a surgeon, I took YEARS to make up my mind. After meeting with several other doctors, I met with Dr. Raniere.... I knew right away, he was it! He’s a true artist who’s a total perfectionist! He listens very well and is very knowledgeable and most of all PASSIONATE about what he does. His staff is just out right phenomenal! You feel as if your going through the whole process with you best friends! Mrs. Cheryl is perfect is guiding you through everything before, during and after your procedure. I would highly recommend planning your surgery with this team of artist!

Feb 25, 2022
Reggie Donaldson
5 stars

Dr. Stewart did work to close the wound on my nose from Moh’s surgery. He did an excellent job - 2 weeks out and healing nicely. He and his staff were extremely friendly and there for questions and concerns I had. I strongly would recommend him to anyone who needs a plastic surgeon.

Oct 28, 2021
Hajji Johnson
5 stars

My experience so far has been great. The whole team was nice and refreshing. Great atmosphere and Dr. Gronka was very pleasant and understanding and I was able to ask questions concerning the surgery. Im looking forward to this journey.

Sep 18, 2021
Kelly Walker
5 stars

Dr. Edward Gronka and his staff are awesome! His bedside manner is amazing! He cares about his patients and gets to the heart of the matter. I truly enjoy talking to Dr. Gronka. He makes you feel welcomed and listens while you're talking. I recommend Advanced Aesthetics Plastic Surgery for your personal care.

Sep 17, 2021
Nelson Stephenson
5 stars

Dr. Stewart is very skilled and is compassionate about his care. I appreciated his kindness and have already referred him to a friend who has surgical needs.

Sep 02, 2021
Nancy Olsen
5 stars

Dr Gronka is a wonderful doctor. He takes time to listen and answer many questions. He is personable and makes one feel comfortable about their procedure

Aug 31, 2021
dan gott
5 stars

Coming from California where most medical staff including Doctors are quite pretentious when dealing with their patients, I have been marveled at the different attitude of my medical doctors and staff here in Georgia . They are like family and I am not exaggerating.

Aug 28, 2021