In most cases, the open approach is extremely useful. In the last 20 years, the open approach to the septum and nasal pyramid, using a small incision in the columella, has become increasingly popular among surgeons. The possibility of defining anatomical deformities under direct inspection of the osteocartilaginous architecture and the opportunity to easily fix the grafts are only some of the advantages that have allowed the great diffusion of this approach. In addition, after a short time the columellar scar, if some special procedures are performed, is practically invisible. The latter offers the enormous advantage of complete anatomical exposure and allows for accurate diagnosis due to better visualization of the deformity than the closed approach, which has been used since the dawn of rhinoplasty. Another essential advantage that the open approach provides is the ability to suture and stabilize the grafts.
In conclusion,revision rhinoplasty is often a work of architecture that requires the reconstitution of a scaffold altered by previous surgeries. Just as you can't put bricks together without cement to stabilize them, in the same way you need to secure grafts in a stable manner to prevent the structure from collapsing.
WATCH THE TESTIMONIES OF MY PATIENTS THAT MADE ME MORE PROUD.