Dorsal hump excision can be accomplished through a closed or open rhinoplasty technique. The surgical approach chosen depends on the etiology of the nasal hump and other rhinoplasty maneuvers incorporated into the procedure.
The procedure can be performed under general or local anesthesia. In either case, local anesthesia is injected via an intercartilaginous approach to infiltrate the lateral nasal walls. If septal and tip work are also to be performed, the septum is infiltrated, and a small amount of anesthetic is placed between the domes and subcutaneously in the columella. In delivery or open rhinoplasty approaches, injections are made in the marginal incisions. Injections are not made in the nasal dorsum to prevent any distortion. Generally, less than 8 mL of local anesthetic is required.
What are the differences between a Closed Rhinoplasty and Open Rhinoplasty?
Open rhinoplasty is good for a second or third revision whereby extensive scar tissue and cartilage grafting techniques are necessary, and external exposure is needed. A simple primary reduction rhinoplasty is best done closed.
Our plastic surgeon will assess the structure of your nose and profile of your face before he can decide if a closed or open rhinoplasty is suitable for you. Most patients undergone closed rhinoplasty with us.
The nasal splint is removed one week after surgery, and the nose is retaped using adhesive. One week later, the tape is removed, and the patient begins daily taping of the nose for the next several weeks. This taping is performed for at least 2 more weeks after the surgery or for longer if the edema is significant. Taping of the nose is an important postoperative measure because it helps eliminate the dead space between the nasal skeleton and the skin–soft tissue envelope and allows for optimal redraping.