There are two incision techniques that are utilized for rhinoplasty: the closed approach, also referred to as endonasal rhinoplasty, and the open approach or external rhinoplasty.
The closed approach involves incisions that are restricted to the inside of the nose, which means the doctor will have to perform all the necessary adjustments through the nostrils. While this can present certain challenges, it has some desirable advantages such as reduced operative time, possibly faster healing, and no visible scarring. Nonetheless, it is best utilized for simpler nasal enhancements.
The open approach, on the other hand, is recommended for more complex cosmetic or reconstructive surgeries as it provides better visibility of the underlying nasal structure. With this approach, an initial incision is made along the columella, or the bridge of tissue that separates the nostrils. The skin is then gently lifted up to reveal the internal framework, allowing the doctor optimum surgical access to reshape the structure of the nose.
With most Middle Eastern patients, the adjustments usually involve reduction of bone and cartilage, particularly in cases where the nasal bridge is concerned. Some may also require cartilage grafts, tip plasty, and alarplasty to address issues with the nasal tip or the size of the nostrils.
Regardless of the approach, Dr. Sedgh employs extreme surgical precision and skillful artistry to create highly refined results that meet the patient’s desired outcome. His main goal with any rhinoplasty procedure is to deliver a natural-looking nose that enhances the overall symmetry and aesthetic quality of the face without compromising its individuality.