An open rhinoplasty involves reshaping the nose, whereas a closed rhinoplasty consists in straightening it. Open rhinoplasty is accomplished by incision at the columella (the fleshy part between the nostrils) outside the nose. Rhinoplasty with closed incisions only involves incisions within the nostrils. Which procedure will produce optimal results will determine the choice.

Open Rhinoplasty

Open rhinoplasty is recommended when easier access is required to the surgical site and where visibility is needed of the area to be treated. It entails creating an incision running the length of the columella, lifting the skin to allow for better visibility and greater precision. With this technique, our surgeon can access the entire nasal structure, including the tip.

Revision rhinoplasty often requires this procedure to correct surgical errors, collapsed nasal structures, or other problems of aesthetic or structural nature. Also, this method would be used when a more significant nose reshaping is needed.

Closed Rhinoplasty

Using this surgery method, the areas that must be reshaped are accessed within the nostril. Minor changes and reshaping may be appropriate with a closed rhinoplasty. The minimally invasive nature of this method means minor postoperative swelling and reduced healing time. Additionally, since the incisions are made in the nostrils, the scarring will not be visible to the naked eye. Patients who only need a slight nasal tip reshaping often use this procedure.

Reasons to Perform an Open Rhinoplasty or a Closed Rhinoplasty   

There are several reasons patients seek nose surgery, regardless of the technique. In addition to those dissatisfied with their natural noses, many patients seek rhinoplasty after sports injuries or accidents. We often hear patients say they can feel their noses:

• They have a nose that is too large or too small for their face (either too big or too small).
• The nose bridge is bumpy
• They seem to have a look that is too wide
• Symptoms of a nasal tip issue include bulbous, prominent, drooping, or large nasal tips
• A nostril that is either flared or pinched
• Asymmetry or crookedness
• Rhinoplasty can correct these factors.

Which One Is the Best?

Although the results of these two techniques differ in practice, they are equally important. The closed technique does not require a columellar incision and allows for quicker recovery after surgery. In contrast, an open rhinoplasty provides more precision when dealing with difficult noses and adjusting the nasal structures in more complex cases.

If you are searching for this surgery, first read the Rhinoplasty services page, and after that, fill out our consultation form because we have good advice for you.

Cons and Pros of Each

Open Rhinoplasty Has Several Advantages, but What Are They?

A few advantages of open rhinoplasty over closed rhinoplasty are as follows:

• Due to the complete unveiling of the nasal structure, a surgeon has an easier time reshaping the nose as the patient desires since he can better see the underlying network.
• In open rhinoplasty, stabilization of the nose after surgery is more accessible than in closed rhinoplasty.
• A more common type of rhinoplasty is an available procedure. Because of this, you have a better chance of finding an appropriate surgeon for open rhinoplasty.

In What Ways Does Open Rhinoplasty Have Cons?

Open rhinoplasty has the following significant drawbacks:

• It takes more time for swelling and bruising to vanish after open rhinoplasty as it is more prolonged and more invasive.
• Second, your nasal columella might still have minimal scarring, though these scars are only visible when your head is tilted back.

Are There Any Advantages to Closed Rhinoplasty?

• Unlike open rhinoplasty, closed rhinoplasty leaves no scars and minimizes swelling and bruising, resulting in less recovery time and downtime.
• The closed rhinoplasty procedure is shorter in duration than the open rhinoplasty procedure.

Closed Rhinoplasty Has Cons, and What Are They?

• Because the surgeon can only see the tissue and cartilage with limited visibility, he can only make limited modifications with less delicacy.
• The number of surgeons skilled in closed rhinoplasty is smaller than those skilled in open rhinoplasty.
• Any nasal incision weakens the nasal structure and weakens the nose’s future stability.
• Nasal cartilage can be damaged during the operation since skin stretching is required to reach the nasal framework.