The operation is performed either entirely through small incisions placed just inside the nostril (the so-called “closed” rhinoplasty) or by adding an incision across the vertical strip of skin between the nostrils (columella) to get a better view of the underlying structures. This is the “open technique”. Each approach has its benefits and indications. Your surgeon will explain these to you when advising which approach is more suitable for your particular problem. There are several steps to the operation.
When the operation is complete, a small splint is applied to help maintain the new shape and a small pad is taped under the nostrils to collect any secretions. This external splint is kept in place for up to fourteen days. A tubular silicone splint is also inserted in each nostril to maintain the internal shape and assist breathing. This internal splint is maintained for up to seven days.
Occasionally, grafts of cartilage from the septum, the ear or even the ribs may be used to overcome irregularities or highlight the bridge line or nasal tip