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Open vs. Closed Rhinoplasty:
Which Technique Is Best for You?

Choosing to undergo rhinoplasty is a deeply personal decision—one that can significantly enhance facial harmony and confidence. One of the most common questions I’m asked is: “Should I get open or closed rhinoplasty?”

Both techniques are effective, but they serve different purposes depending on your anatomy, goals, and whether this is your first surgery or a revision.

What Is Open Rhinoplasty?

Open rhinoplasty—also known as external rhinoplasty—involves a small incision across the columella (the thin strip of skin between the nostrils). This incision allows the nasal skin to be lifted, giving me full visibility of the underlying cartilage and bone.

Benefits of Open Rhinoplasty

  • Maximum precision and visibility for reshaping complex anatomy
  • Ideal for major structural changes, including crooked noses, trauma, severe deviation, or revision cases
  • Enhanced access for grafting techniques
  • More predictable long-term outcomes when extensive support is required

Is There a Scar?

Yes, but it is typically a fine, barely visible line once healed. Most patients find it nearly undetectable.

Who Is an Ideal Candidate?

  • Revision rhinoplasty patients
  • Those needing correction of asymmetry or deviation
  • Patients seeking major tip refinement or projection changes
  • Individuals with functional breathing issues requiring structural repair
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What Is Closed Rhinoplasty?

Closed rhinoplasty—also known as endonasal rhinoplasty—places all incisions inside the nostrils, leaving no visible external scar. Because the tissues are not fully opened, this technique preserves more of the natural support structures.

Benefits of Closed Rhinoplasty

  • No external scar
  • Shorter operating time
  • Less swelling and faster initial recovery
  • Ideal for subtle, elegant refinements

Who Is an Ideal Candidate?

  • First-time rhinoplasty patients with mild to moderate concerns
  • Individuals seeking small dorsal hump reduction
  • Patients wanting subtle tip refinement without major structure changes
  • Those desiring a quicker recovery
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Open vs. Closed Rhinoplasty: Which Produces Better Results?

The best approach depends entirely on your anatomy and goals—not on a “one-size-fits-all” technique.

Open Is Best When:

  • You need significant reshaping
  • Your nose has trauma, deviation, or collapse
  • You require multiple grafts
  • This is a revision rhinoplasty

Closed Is Best When:

  • You want subtle, natural refinements
  • You prefer a shorter recovery
  • You do not need extensive structural correction

As a rhinoplasty specialist trained in both techniques, I choose the method that gives the most natural, harmonious, and stable result for your specific nose.

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What About Recovery Time?

Open Rhinoplasty Recovery

  • Swelling lasts longer (particularly at the tip)
  • Bruising typically resolves within 7–10 days
  • Most patients return to work within 10–14 days
  • Final refinement can take 12–18 months

Closed Rhinoplasty Recovery

  • Less swelling overall
  • Many patients feel “camera-ready” sooner
  • Return to normal activities in about 7–10 days

Will My Result Look Natural?

How I Decide Which Approach You Need

Absolutely. Whether I use an open or closed approach, my priority is a natural-looking nose that respects your facial proportions and maintains long-term function.

The technique is simply a tool—your outcome depends far more on surgical precision, aesthetic vision, and careful planning.

During your consultation, I evaluate:

  • Your nasal anatomy (external + internal)
  • Skin thickness
  • Tip support
  • Breathing function
  • Your aesthetic goals
  • Whether this is primary or revision surgery

From there, I recommend the approach that will deliver the safest, most predictable, and most beautiful result—while keeping your individual anatomy in mind.

If you’re wondering which rhinoplasty approach is right for you, I would love to guide you through the process.

Book a consultation to explore a personalized plan tailored to your facial features and goals.