A member asked:

Where are the incisions made in a rhinoplasty? where are the incisions located for a rhinoplasty, and do the scars show afterward?

7 doctors weighed in across 4 answers
Dr. Thomas Lamperti answered

Specializes in Facial Plastic Surgery

The : The incision location depends a bit on whether you have an open or closed rhinoplasty approach. The closed incisions are all hidden inside the nose. The open incision adds one small incision across the columella. Check out my link below that explains the incision placement in more detail.

Answered 10/3/2016

5.3k views

Thank

In : In a closed approach all the incisions , and therefore the scars, are hidden within the nose. In an open approach a single external scar (often only 4-6 mm) is typically placed in a "shadow zone" of the nose in the narrowest portion of the columella ( bridge of skin between nostrils). This scar typically heals very well and not usually seen on frontal view unless the nasal tip has been overrotated (not a desired goal). It is possible, however, to have an unsightly scar if care is not taken in carefully realigning the skin edges. This usually would manifest as a step-off deformity, widened, or depressed scar. This is a rare occurrence, however. Additionally, if your surgeon needs to narrow the distance between your nasal sidewalls, this is often done with external incisions(weir). You should fully discuss and understand the operative plan ahead of time with your rhinoplastic surgeon.

Answered 12/12/2018

5.3k views

Thank
Dr. Francisco Agullo answered

Specializes in Plastic Surgery

Minimal: Rhinoplasty incisions are made inside the nose. Your surgeon may make a small incision in the columella, which is almost imperceptible.

Answered 3/9/2013

5.3k views

Thank
Dr. Mark Checcone answered

Specializes in Facial Plastic Surgery

More on external: The other answers address differences between open and closed (endonasal) approaches. The open or external incision is shaped like an inverted "v" or "w" shape to break up the incision line. This creates a well camouflaged scar that is less noticeable than a straight line and more symmetric than a stepped incision. A well designed incision should leave a well hidden scar.

Answered 1/3/2015

5.2k views

Thank

Related Questions