Closed rhinoplasty techniques are less invasive whereby all the incisions for the rhinoplasty procedure are placed on the inside of the nose. The open rhinoplasty procedure involves placement of an incision across the columella to gain access to make the necessary changes on the internal portion of the nose. Some surgeons prefer open rhinoplasty, while some surgeons prefer closed rhinoplasty techniques. Some surgeons prefer closed rhinoplasty techniques because patients heal faster since all of the incisions are placed in internally.
With regards to a rhinoplaty, the amount of pain that patients experience after the surgery is pretty minimal. Most patients take maybe a couple of Vicodin or Percocet pills the first night or two after their surgery because you’re going to have a bit of a headache – theres no question about that but there is not severe pain – it’s more about dull headache. The worst part about the nasal surgery is that you cannot physically breathe out of your nose – its like putting a clothes pin on your nose and you are unable to breathe out of it. The bleeding is using fairly minimal. There is more bleeding associated if we’re doing more internal sinus related work or the deviated septum such that there can be a little more bleeding with that internal work but typically most patients have very little bleeding after the surgery.