An Open Rhinoplasty includes the same two incisions, but with one additional incision connecting the two, across the columella. That final connecting incision is called a trans-columellar incision, and it allows Dr. Papanicolaou to open the skin of the nose.
With this technique, Dr. Papanicolaou will elevate the skin to assess all of the various nasal tissues and structures, then, he will have full access to perform corrections such as removing excess tissue, reshaping the cartilage and nasal bones, or placing cartilage grafts. Once these corrections are finished, he will reposition the skin and suture it back up for the healing process.
An Open Rhinoplasty will result in a scar at the incision site, however, this is usually well concealed. As time passes, the scar will fade and remain minimally visible.
With a Closed Rhinoplasty, also called Endonasal Rhinoplasty, any incisions and nose tip reshaping are done within the nostrils. Closed rhinoplasty techniques are generally used when the patient desires minor corrections and reshaping of the nasal tip.
Dr. Papanicolaou begins your procedure by making a small incision inside each nostril. From there, he will make nasal corrections as needed, such as sculpting the cartilage and nasal bones, eliminating excess tissue, or adjusting the shape/size of the nostrils. When complete, Dr. Papanicolaou will use dissolvable sutures to close the incisions.
There is no visible scarring after a Closed Rhinoplasty, however, since access is limited with this technique, it cannot be recommended for all patients.
Individuality and uniqueness are some of the most beautiful aspects of humanity, so in the world of plastic surgery, that means that not every technique works the same way for everyone. Dr. Papanicolaou offers variations on advanced techniques in his rhinoplasty procedures to allow every Lake Mary and Orlando Rhinoplasty patient to alter their appearance while maintaining their ethnic identity. With an Ethnic Rhinoplasty, extra care and attention to detail make it possible to create a more pleasing nose aesthetic for his non-Caucasian patients.
This particular procedure helps minimize nasal flaws, improving the overall size, shape, and symmetry bringing out facial harmony, all while preserving your unique beauty and heritage.
Dr. Papanicolaou uses a special approach for his male patients who want to alter their nasal shape and size or remove that “bump” in their nasal anatomy. Male Rhinoplasty is geared towards keeping a powerful, prominent nose, with a less rotated nasal tip, but also fitting your masculine face. You’ll be able to maintain your square, well-defined jawline and adjust some of the more nuanced defects that you may not like about your nose.
Dr. Papanicolaou takes everything about what makes a male nose unique into consideration when performing this procedure. These characteristics are usually your nose width, the angle of the nasal tip, your facial shape and structure, and finally, the angle of your nasal bridge.
Rhinoplasty is a surgical technique, so Non-Surgical Rhinoplasty may sound a bit like an oxymoron. Nonetheless, this minimally invasive option (a.k.a. liquid rhinoplasty) can work wonders for some patients with small contour deformities. Using fillers similar to the products used for cheek or lips augmentation, dorsal depressions or flat nasal tips can be treated to smooth the contour or improve tip projection. While the fillers are only temporary, they can be a great option for someone not ready for surgery or as a quick fix for an upcoming event (i.e. wedding, graduation, reunion, etc.).
Non-surgical rhinoplasty is an office-based procedure that takes about 45 minutes. If you are considering this option to get ready for an upcoming event, give yourself a few days to allow the filler to settle in. Dr. Papanicolaou can help you see natural results and decide if this is the right treatment for you.