In an open rhinoplasty, a small incision is made on the columella, which is the small column of skin that separates the two nostrils. With this incision, Dr. Marcus achieves unimpeded visibility of the nasal structures. This approach allows him to make more significant changes to the nose, as well as perform reconstruction if necessary. Of the two techniques, open rhinoplasty tends to be more advantageous.
It allows greater access and greater dexterity in making desired changes. For patients concerned with scarring on their columella, it is important to understand that Dr. Marcus' closing techniques are second to none. Over time, the scar reduces until it is virtually invisible. Below are some examples of Dr. Marcus' rhinoplasty patients.