Dr Robinson always performs an open structured rhinoplasty. An open structured rhinoplasty involves:
- Meticulous pre-operative planning
- General anaesthetic
- Small incision under the tip of the nose
- Exposing all of the structures of the nose
- Making the required adjustments to the cosmesis and / or function of the nose
- Supporting the nose with structural grafts
- Meticulous closure of the incision
- Using splints and tapes to decrease swelling
A question which is commonly asked is “How big is the incision for a open structured rhinoplasty?” Below is an example of the before and after of a patient who has had an open structured rhinoplasty with the pre op photo first then the post op photo.
The scar in this case and the vast majority of cases of open structured rhinoplasty is minimal and heals excellently.
In Dr Robinson’s opinion the open structured rhinoplasty approach superior to a closed rhinoplasty approach because of the following reasons:
- Closed rhinoplasty gives poor exposure to the structure of the nose
- Closed rhinoplasty doesn’t allow for as many structural grafts to be used
- Closed rhinoplasty has a higher rate of revision
- Closed rhinoplasty has a very high learning curve in the order of several hundred operations
All of the patient’s in the gallery have been operated on by Dr Robinson and have all had an open structured rhinoplasty. Dr Robinson teaches training ENT Surgeons at Gold Coast University Hospital as well as at an annual rhinoplasty course in the techniques of open structured rhinoplasty.