Some patients worry about scarring. As with any incision of the skin, some degree of scarring is bound to take place. However, in rhinoplasty surgeries the scars are minimal and often undetectable. In the event that Dr. Marcus chooses to perform an open rhinoplasty as part of your surgical plan, a small incision will be made called a trans-columellar incision, which connects the right and left nostril incisions. This incision is no more than 4-5 millimeters and when performed correctly, the healed trans-columellar incision is often invisible and rarely results in an objectionable scar.
Closed vs Open Rhinoplasty
A less traditional approach, a closed rhinoplasty indicates that no incisions are made on the outside of the nose in order to accomplish the desired changes. Instead, all surgical incisions are positioned inside the nostrils. The advantage of closed rhinoplasty is there is no scar left on the outside of the nose. The disadvantage is it can be more difficult to have a clear view of the nasal structure, especially when working on the tip of the nose. For this reason, Dr. Marcus is careful in choosing this option, as it generally works best for the more minor alterations.
In an open rhinoplasty, a small incision is made on the columella, which is the small column of skin that separates the two nostrils. With this incision, Dr. Marcus achieves unimpeded visibility of the nasal structures. This approach allows him to make more significant changes to the nose, as well as perform reconstruction if necessary.
Of the two techniques, open rhinoplasty tends to be more advantageous. It allows greater access and greater dexterity in making desired changes. For patients concerned with scarring on their columella, it is important to understand that Dr. Marcus' closing techniques are second to none. Over time, the scar reduces until it is virtually invisible. Below are some examples of Dr. Marcus' rhinoplasty patients.
Within our photo gallery, you will discover the true meaning of Dr. Marcus’ results, helping you understand what may be in store for you.View Gallery
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