What is Open Rhinoplasty?
Open rhinoplasty is a surgical technique that involves making an external incision on the columella, the small strip of tissue between the nostrils. This allows for enhanced access to the underlying cartilage and bone, for precise reshaping. Open rhinoplasty can correct concerns such as nasal asymmetry, a deviated septum, a drooping nasal tip, a flat nasal bridge, and dorsal humps. This procedure is beneficial for individuals seeking significant nasal refinements or those undergoing revision rhinoplasty.

Candidates for Open Rhinoplasty
Ideal candidates for open rhinoplasty are individuals who are dissatisfied with the appearance or function of their nose. This procedure is suitable for those with concerns such as a bulbous or drooping tip, a nasal hump, wide nostrils, or breathing issues. Candidates should be in good overall health, non-smokers, and have realistic expectations regarding the procedure results.

Open Rhinoplasty Procedure
Open rhinoplasty is performed under general anesthesia to ensure patient comfort. A small incision is made on the columella, allowing access to the nasal framework. Dr. Daraei then reshapes the bone and cartilage to achieve the desired contour and structural support. If necessary, cartilage grafts may be used to enhance nasal definition or correct functional issues. Once the modifications are complete, the skin is re-draped over the newly structured nose, and the incision is carefully closed. The procedure typically takes between one to four hours, depending on the complexity of the case.
Open Rhinoplasty Recovery
Following open rhinoplasty, patients can expect some swelling, bruising, and mild discomfort. A nasal splint may be placed to support healing and maintain structural integrity. Most patients are able to resume light activities within a week, with full recovery taking several months as residual swelling gradually subsides. Post-operative care includes keeping the head elevated, avoiding strenuous activities, and refraining from wearing glasses directly on the nose. Detailed aftercare instructions will be provided to ensure a smooth recovery process and optimal results.
Schedule a Consultation
If you are considering open rhinoplasty, scheduling a consultation with Dr. Daraei is essential. Contact our office today to schedule a consultation and learn more about your options.
Open Rhinoplasty Results
Open rhinoplasty offers long-lasting enhancements to the nasal structure, improving both aesthetics and functionality. Patients will notice refined nasal contours, better facial balance, and improved breathing function. While initial swelling may temporarily be present the final results will become more apparent as healing progresses over the following months. With proper care, the results of open rhinoplasty are permanent.
Paul Daraei, MD
Dr. Paul Daraei is deeply committed to excellence and patient-centered care. As a Double Board-Certified Facial Plastic Surgeon, he specializes in all surgical and non-surgical procedures of the head and neck. Dr. Daraei completed a rigorous head and neck surgical program, followed by a fellowship dedicated solely to cosmetic facial plastic surgery. He has worked with prestigious and elite surgeons nationally and internationally to provide comprehensive and state-of-the-art care for his patients in the Atlanta area.
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