The Difference Between an Open and Closed Rhinoplasty

Many people choose to get cosmetic surgery to improve their appearance and self confidence. One of the most common procedures is a rhinoplasty, commonly referred to as a “nose job.” If you’re thinking of getting a rhinoplasty, it’s important to know the basics. Because every nose is unique, there is more than one way to perform a rhinoplasty. Before you undergo the procedure, it’s important to set up a consultation with your plastic surgeon and figure out which type of surgery is best for you. There are two main types: an open rhinoplasty or a closed rhinoplasty.

Open Vs Closed Rhinoplasty Photo - Tallahassee Plastic Surgery Clinic

Open Rhinoplasty

A plastic surgeon begins an “open” rhinoplasty by making a small incision in the column of skin that separates the patient’s nostrils, called the columella. Once the surgeon makes the incision, he or she can remove the patient’s skin from the tip of the nose. Making this incision makes it much easier for the surgeon to see and work on the patient’s nasal cartilage. The scar from an incision on the columella is incredibly difficult to find, meaning that an open rhinoplasty will not leave the patient with any noticeable facial scarring.

Closed Rhinoplasty

A closed rhinoplasty does not include this type of incision. The plastic surgeon does all the work by tunneling inside the nostrils and not making any incisions to the exterior of the patient’s face. Many plastic surgeons believe that a closed rhinoplasty is less precise and more difficult to successfully complete than an open rhinoplasty. However, closed rhinoplasties have their advantages as well. For example, the inner workings and support structures of your nose won’t be involved, the surgery takes less time, and you’ll experience less swelling. A closed rhinoplasty is an excellent option for a patient who likes the way the tip of his or her nose looks and does not need any work done on that area.

When choosing between an open and closed rhinoplasty, you should talk to your plastic surgeon about which method he or she feels will produce the best results. Many surgeons like to stick with the techniques in which they have been trained, so if you are nervous about having a rhinoplasty, you should speak to your surgeon about your aesthetic goals.

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