Dr. Golden only performs closed rhinoplasties. The closed approach has a number of advantages over the open approach. Some of these benefits include the following:
- No visible scarring. All incisions for a closed rhinoplasty are made inside the nostrils and are thus hidden from view. In an open rhinoplasty there is an incision that runs across the base of the columella, the part between the two nostrils.
- Decreased healing time. A common complaint of rhinoplasty patients is the post-operative swelling of the nose. While each person heals at their own pace, any given person will heal faster with a closed rhinoplasty as opposed to an open rhinoplasty because the lymphatics and blood supply of the nose aren't as effected.
- Immediate feedback to the surgeon when changes are made to the nose. This procedure is one of millimeters. The slightest change under the skin of the nose will have effects on how the nose looks from the outside. When these small changes are made during a closed rhinoplasty, the surgeon is able to visualize the effects of those changes and make the appropriate adjustments. A surgeon performing an open rhinoplasty would have to bring the skin back over the nose and align the incisions to visualize the effect of any changes.
- Less change in the nose over time. As incisions heal they form scars that tend to contract over time. This process is known as scar contracture. Since a closed rhinoplasty has fewer incisions than an open rhinoplasty, there is less chance of scar contracture that could cause the nose to change shape. Dr. Golden knows this and takes great care to minimize the incisions made, often times making fewer incisions than the standard closed rhinoplasty, to give a result that will withstand the test of time.
Sometimes people are concerned that a closed rhinoplasty won't give them as good as a result as an open rhinoplasty would. Simply put, this is not the case for Dr. Golden. He has not found himself to be limited in any way with what he can achieve using the closed approach. He can visualize all structures inside the nose he needs to visualize, he can feel the structures he needs to feel, and he can access the structures he needs to access. Look at our photo gallery to see examples of some of the changes to the nose that can be made using the closed approach.