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How Open and Closed Rhinoplasty Are Different

Many surgeons will confirm that rhinoplasty is one of the most complicated surgeries performed for a variety of different reasons. In addition to the inherent complexities, there’s also a need to decide which method to use since there are both open and closed rhinoplasty techniques. The decision is made by the surgeon and there are many different factors to consider. 

Open rhinoplasty and closed rhinoplasty are different techniques used to reshape the nasal tip and structure of the nose. There are pros and cons associated with both approaches. It’s always a good idea to have a basic knowledge of any procedure you’re considering, which is why you’ll find the information below helpful.

About Open Rhinoplasty

Open rhinoplasty requires the surgeon to make an incision in the area that separates the nostrils, which involves incising the soft tissue while the patient is under general anesthesia. This area of the nose is called the columella. The purpose of this incision is to give the surgeon access to cartilage and bone to make the necessary adjustments with a greater level of accuracy. It essentially enables the surgeon to reshape and contour the patient’s nose, which is especially beneficial when the procedure being performed is revision rhinoplasty. Revision rhinoplasty is when a prior procedure has already taken place and further changes are requested. 

Another scenario in which open rhinoplasty tends to be most effective is when the patient’s nose needs to be aligned or straightened. This is because the surgeon is better able to view the area that needs to be corrected, which increases the chances of success for a procedure that is notoriously difficult. Revision rhinoplasty is usually difficult because the surgeon is trying to resolve issues from the first procedure, which means there might be the issue of scarring. It involves grafting, which further makes the open technique the preferred option.

About Closed Rhinoplasty

Closed rhinoplasty is when the entire surgical procedure is performed with incisions made inside of the nostrils. This procedure also involves general anesthesia, even though the procedure is not as invasive as open rhinoplasty. A benefit of closed rhinoplasty is that it does not result in scarring that’s visible. Since there is no incision on the outside of the nose, that means there is also less swelling involved during aftercare. Generally speaking, closed rhinoplasty is used by surgeons an equal amount of times as open rhinoplasty.

Which Option is Best?

Although the methods used for open and closed rhinoplasty are different, the technique chosen can make a significant difference in the results. Which is best will depend on many patient-specific factors, as well as the types of issues that need to be addressed by the surgeon to achieve the desired results. The closed technique is often used when speed is important during the procedure and in recovery. On the other hand, the open technique is preferred when a greater level of precision is necessary. This can be important in cases that are extremely complex and when changes to the nasal structure require keen precision. The best option will be determined after a consultation and evaluation by a doctor.

About Dr. Nicholas Husni

Dr. Nicholas Husni is a board-certified surgeon in Cleveland. He has a unique talent for leveraging cutting-edge technology to optimize the safety of patients and achieve beautiful results. His keen attention to detail has contributed to exceptional cosmetic outcomes and patient satisfaction. Dr. Husni recognizes the unique beauty in every person and endeavors to achieve their individual goals. Dr. Husni can answer any questions you have about rhinoplasty.