When it comes to nasal surgery, no matter the specific nasal deformity being addressed, there are two main techniques to consider: open rhinoplasty vs. closed. Albany, New York’s Dr. Edwin Williams almost exclusively performs closed rhinoplasty, but has extensive experience in both procedures.
In fact, Dr. Williams consistently used the open rhinoplasty approach throughout the first decade of his career performing nasal surgery. Since this technique allowed him visual access to the internal structures of the nose, it was an effective way for him to study and become incredibly familiar with its anatomy. His 10 years of consistent, hands-on work via open rhinoplasty ultimately equipped him with the skills and knowhow to confidently and regularly perform the closed technique. While the closed or endonasal technique can be technically demanding, once a surgeon has a tremendous amount of experience, all of the surgical maneuvers—and resulting outcome—can be accomplished through this approach. The experience facilitates a clear, three-dimensional understanding of the anatomy, necessary for surgery without opening the nose and exposing all of the underlying tissue, which also leads to associated recovery and external incision and scarring.
