Open vs. Closed Rhinoplasty

January 23, 2014 — by Stephen Hardy M.D.
Tags: Rhinoplasty Plastic Surgery

Missoula Nose SurgeryThere are two different techniques when it comes to rhinoplasty. These techniques include open and closed rhinoplasty. Patients that are considering nose surgery should be aware of the differences between these techniques. If you are looking for a Missoula based plastic surgeon, consider scheduling a consultation with the North West Plastic Surgery Associates. Our experienced surgeons will help you to choose the treatment best suited to your needs. In the meantime, we offer this overview to explain the differences between open and closed rhinoplasty.

What Is the Open Rhinoplasty Technique?

The open rhinoplasty technique involves making incisions on the outside of the nose, along the sides of the nostrils and between the nostrils. Open rhinoplasty allows easier access to the internal structures of the nose as the incisions made allow the skin of the nose to be pulled back. This exposes the nose cartilage and bones. Once the internal structures are exposed, the bone and cartilage are reshaped. Skin may also be removed to further refine the nose shape and appearance. After the reshaping is complete, the skin is replaced, incisions are sutured closed, and bandages are placed on the nose. 

What Is the Closed Rhinoplasty Technique?

The other technique is called closed rhinoplasty. With closed rhinoplasty, all incisions are made inside the nose. Closed rhinoplasty is popular for its ability to keep incisions hidden within the nostrils. In a closed rhinoplasty, incisions are made within the nose and the skin is separated from the nose. The nose is then sculpted to the desired size and shape. Once completed, the incisions are sutured closed and the nose is bandaged.

The Pros and Cons of Both Techniques

Each incision technique has its own positives and negatives. The type of technique you choose is best decided between you and your surgeon. Some of the pros and cons of each technique include:

  • The Open Rhinoplasty Technique: Open rhinoplasty allows the surgeon more access to the internal structures of the nose, allowing for more precision and ease of sculpting the nose. Though open rhinoplasty is advantageous for the surgeon, it may result in more visible scarring. With open rhinoplasty, incisions are made on the outside of the nose. This leads to increased recovery time as well since more sutures are needed close the incisions.
  • The Closed Rhinoplasty Technique: Many patients choose closed rhinoplasty since it results in no visible scars. Closed rhinoplasty allows the surgeon to keep all incisions within the nostrils. Closed rhinoplasty also requires fewer incisions, which leads to a quicker recovery. Closed rhinoplasty carries the disadvantage of limiting surgical access to the internal structures of the nose.

Learn More about Your Rhinoplasty Options

Rhinoplasty can help improve confidence by giving you a beautifully sculpted nose. Both the open and closed rhinoplasty techniques have their own benefits and disadvantages. The technique you choose greatly depends on your needs and desired results. To find out more about rhinoplasty or to see which technique is right for you, we invite you schedule a consultation today!

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