Rhinoplasty (Open vs Closed)

Rhinoplasty (Open vs Closed) refers to two different surgical techniques for changing the shape and sometimes the function of the nose. In open rhinoplasty the surgeon creates a small external incision across the columella (the tissue between the nostrils) in addition to internal incisions, which allows the skin to be lifted off the nasal framework for direct visualization and more extensive reshaping; in closed rhinoplasty all incisions are made inside the nostrils so there is no external scar and the surgeon works through these internal openings.

Each approach has advantages and limitations: open rhinoplasty typically provides improved access for complex tip work, structural grafting, or revision cases but can cause slightly more initial swelling and a tiny external scar, while closed rhinoplasty often results in faster early recovery and no visible external incision but can limit exposure for major structural changes. The best choice depends on the individual’s nasal anatomy, the specific changes needed, and the surgeon’s assessment; recovery commonly includes bruising, swelling, splints, and gradual improvement in shape over several months.