About Rhinoplasty
There are two basic types of rhinoplasty: open and closed. During an open rhinoplasty, an external incision is made in the columella (the area between the nostrils), whereas during a closed rhinoplasty all incisions are made through the nostrils, inside the nose.Dr. Tobias performs only closed procedures which have many advantages over open surgeries, including:
No visible scarring
Very little pain
Less postoperative bruising and swelling
Shorter recovery period
A rhinoplasty usually takes about 2 hours, but may run up to an hour longer in certain complicated cases.The rhinoplasty procedure is a complicated and delicate one for the doctor, but an easy one for the patient. The surgery takes place in a full-service hospital to provide the utmost safety and comfort. First, the patient is put under general anesthesia by a highly trained anesthesiologist. Because Dr. Tobias only performs closed surgeries, there will be no incision made in the columella (the area between the nostrils). Instead, the entire operation will take place through the natural opening of the nostrils. Once the incisions are made, the skin covering the nasal bones and cartilage is gently lifted to allow Dr. Tobias access in order to reshape the nose. He is almost always able to use existing cartilage during the surgery, though depending on the individual case, tissue may be removed or added before skin is redraped over the nose.Once the rhinoplasty has been completed, the inner nose will be stitched closed, without packing, and externally splinted or casted. The patient, who has slept soundly throughout the surgery, will soon be moved to the recovery room where he or she will be monitored until fully awake.
Opening the Door to Closed Rhinoplasty
When Dr. Tobias first went into the field of rhinoplasty, patients who had “nose jobs” had a marked tendency to have noses similar to one another. It was easy to see who had had nasal surgery and who had not. Efforts to veer away from “cookie cutter noses” at the time necessitated open surgery, resulting in visible scars, increased swelling and bruising, and a longer recovery.When Dr. Tobias entered the field, all of this changed. With his surgical skill and creative talent, he developed a type of rhinoplasty in which results were individually perfected. Not only was he able to craft naturally beautiful noses; he was able to do so with closed surgeries, something no other surgeon had managed. As a result, Dr. Tobias’ patients healed quickly, with only minimal swelling, and without any visible scars.