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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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I was told that there are two approaches to rhinoplasties

September 14, 2011 by Dr. Schoenfeld

Question:

I was told that there are two approaches to rhinoplasties: “open” and “closed”. I’m worried about scarring. What is the difference between the two types and which one has a lower scarring risk?

Answer:

There seems to be a great deal of controversy with regards to the different approaches to rhinoplasty surgery. The difference between open rhinoplasty versus closed rhinoplasty is in that in open rhinoplasty there is a small incision which is made into the skin underneath your nose between your nostrils in order to elevate the skin of the nose off of the cartilage and provide better visibility to the cartilages of the nasal tip and nasal bridge. The additional incision which is made in open rhinoplasty is quite small and heals imperceptibly. There is some tip numbness following open rhinoplasty that can last for several weeks. Scarring, though always a potential complication in rhinoplasty, is not increased with the use of the open rhinoplasty approach. The highest risks for scarring from rhinoplasty will depend upon the complexity of your nose and wether it is a primary or revision rhinoplasty. Your surgeon will take every precaution to minimize the potential for scarring in either case.

Posted by Dr. Philip Schoenfeld

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Reviews

  • I met SEVERAL renowned plastic surgeons across multiples states before choosing the right one to perform my surgeries. After the first few minutes with Dr. Schoenfeld, it became very apparent to me that he was the person I'd entrust with my operations. He is the consummate approach, level of expertise, and experience provided me a tremendous amount of comfort, I knew that my expectations would surely be met. As it turns out, I not only made the right choice, but Dr. Schoenfeld was able to surpass my expectations, everything turned as he said it would and even better than I had hoped, Dr.…

    • 5 stars
  • I went to Dr. Schoendfeld to have a Septoplasty/Rhinoplasty and I couldn't be happier. He called to check up on me multiple times after my surgery to make sure I was doing good and I love the appearance of my new nose. He was able to make it fit my face and make it look as natural as possible while still fixing everything I wanted to be corrected, I am also able to sleep so much better at night since I can breathe out of my nose with ease.

    • 5 stars
  • Dr Schoenfeld is a fantastic doctor. He is respectful and makes an effort to get to know his patients. He is experienced and quite good at what he does. I had seen him for several years for Botox and fillers and was always happy with the results—very natural and never overdone. I had some jowls and neck rings developing, and these were beyond anything that injectables or good skin care could fix. I knew I could trust Dr. Schoenfeld to fix these problems and to deliver an aesthetically pleasing and natural looking result.

    I am a busy person with a career and many other obligations, and I…

    • 5 stars
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5454 Wisconsin Ave #1625, Chevy Chase, MD 20815

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