Closed Atraumatic Rhinoplasty


Closed Atraumatic Rhinoplasty


Which technique to choose Open vs Closed?

According to the ISAPS (International Society of Aesthetic Plastic Surgery) annual reports, rhinoplasty surgery, commonly known as the nose job, became one of the most preferred aesthetic surgeries in the world. It is a very complex surgery due to dealing with the calculations in millimeters. There are two main techniques in rhinoplasty, open and closed technique. Open technique requires an incision on the tip of the nose, as for closed technique whole interventions are performed through the internal incisions in the nose. No matter which technique you choose first need to pay attention to the surgeons’ expertise. There are various discussions regarding a choice between the techniques, briefly we can say that the Open technique is well-marketed and widely used among the plastic surgeons, on the other hand the Closed technique is much more difficult and requires a very fine workmanship and excellent knowledge of the nasal anatomy.



What does the Closed Atraumatic Rhinoplasty mean?

Assoc.Prof.Dr.Suleyman TAS is comfortable with both techniques, but prefers a Closed Atraumatic technique as it is the least invasive way of reshaping the nose precisely, using the latest technologies. The word Atraumatic comes from Latin which means not causing any injury or trauma. Natural noses which suit each patients unique facial features are achievable thanks to this technique utilized by Assoc.Prof.Dr.Suleyman TAS for over 12 years. In summary, the Closed Atraumatic rhinoplasty, protects the anatomy of the nose, strengthens the weak parts, reduces the swelling and prevents tissue damage. The healing process is accelerated as well. It is possible to achieve a scar free, defined and significantly reduced noses without opening the nose and compromising the functional issues with the Closed Atraumatic Technique. The overall experience is almost painless and patients can resume the daily lives in 7 days after the surgery as there is no bruising and just a minimal swelling. Midterm results can be achieved in 2 months, as for the final results depending on the each patients healing ability and thickness of skin at least one year is needed.



If I had a surgery with the open technique is it possible to have a revision with the closed atraumatic technique?

It is a widely known mistake that a revision surgery needs to be performed with the open technique due to visualization. Assoc.Prof.Dr.Suleyman TAS is able to handle challenging revision cases with the closed technique owing to the extended experience and perfect knowledge of the nasal anatomy even if the previous surgeries were performed with the open technique.

  





Does the Closed Atraumatic rhinoplasty work for every patient?
As long as you are in the experienced hands of the expert the Closed Atraumatic Technique can be utilized for almost all cases including the patients with a thick skin, wide nose or a challenging revision case. Assoc.Prof.Dr.Suleyman TAS makes precise calculations in millimetres and able to achieve natural results suitable with the unique facial features of each patient thanks to his delicate artistic vision and advanced skills.

When can I have a revision rhinoplasty?
In some cases when the functional or aesthetical issues occur after a nose surgery a revision (reconstruction) surgery might be needed. The decision of the proper time for revision surgery can be made upon the type of the nasal skin. If the patient has thin skin she/he can be operated at least one full year after previous surgery. As for the thick skinned patients this waiting time can be from 1,5 to 2 years. Since the nasal structures keep healing, they are in a dynamic state meaning not stable yet, this situation may misguide the surgeon during the surgery. Therefore, it is essential to determine a right time and a right surgeon for the revision rhinoplasty which is more complicated than the primary case and requires fine workmanship with the extended experience in this field.

Can I have a surgery If I have fillers done on my nose?
Non-surgical nose job is quite common among the patients who would like to hide the natural or subsequent deformities of the nose. They can be helpful to camouflage the indents or smoothen the dorsal hump temporarily. On the other hand, it doesn’t work for bulbous noses as it adds additional volume to the already big sized noses. Fillers need to be dissolved at least 2 days before having done a surgery not to misguide the surgeon during the surgery, unless it is permanent fillers. One should check with the specialist who injected them, if the fillers have been dissolved by itself and whether needs touch up removal before the planned rhinoplasty to create a precise surgical plan because fillers distort the actual shape of the nose.






References 








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