Episode 030 | Open vs Closed Rhinoplasty

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Episode 030 | Open vs Closed Rhinoplasty

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Rhinoplasty is one of the most complex and evolving procedures in facial plastic surgery. In this episode of The UnPhiltered Podcast, Dr. Philip Solomon breaks down how nose surgery has changed over the past 20 years, and why technique matters more than ever. What’s the difference between open vs closed rhinoplasty? What is preservation rhinoplasty? Do surgeons always have to break the nose bones? How accurate are on-table rhinoplasty photos? Can rhinoplasty affect breathing? With over 25 years of experience, Dr. Solomon explains how rhinoplasty techniques have evolved — from traditional endonasal (closed) approaches to structural (open) rhinoplasty and modern preservation methods. He also discusses septal extension grafts, ultrasound (piezo) rhinoplasty, recovery expectations, swelling changes over time, and potential complications like septal perforation. If you're considering a nose job, researching rhinoplasty recovery, or trying to understand the risks and benefits of different surgical techniques, this episode provides a clear, honest look at what really happens in the operating room, and during the year that follows.

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