Open Rhinoplasty in Fort Worth

Open rhinoplasty is the term used when an incision is placed across the columella (the strip of skin between the nostrils) to enable exposure of the nasal tip during rhinoplasty in the Fort Worth and Dallas area. In essence, the transcolumellar incision connects the standard intranasal incisions used in closed rhinoplasty and adds about 5 mm (1/4") of additional length to the incision. The big advantage of this approach is the wide visibility given to the nasal tip. This visibility is important because it allows direct shaping and support of the tip cartilages.

The techniques that are employed in tip shaping and support have revolutionized the outcomes that are now possible in both primary and secondary nose surgery in Dallas. Furthermore, these techniques allow for the preservation of structure to minimize secondary deformity.

The negatives associated with open rhinoplasty relate primarily to the additional columella incision (scar) and to the fact that there is more swelling and slower healing in the nasal tip. I see the arguments over the choice of the surgical approach as somewhat ludicrous. If the open approach offers advantages in form, shaping, and stability of outcome, then by all means the small incision is justified. If an equivalent result can be achieved with a closed rhinoplasty, then it is unnecessary. The scar has simply not been an objectionable feature for any of Dr. Byrd's patients and in his entire experience with open rhinoplasty, he has only revised one of the columellar incisions that he created. In Dr. Byrd's opinion, a Dallas / Fort Worth rhinoplasty surgeon should not be bound by a single approach and instead should be able to advantage his/her patients with the full range of techniques that can provide the best possible outcome.

Next Steps

Nose surgery can have a dramatic positive effect on your overall facial appearance. Save $100 on your consultation with Dr. Byrd when you request an appointment online or call our office at (214) 821-9662. Our compassionate care begins from your first phone call and follows you throughout your post-operative care and beyond.