What’s the difference between an Open and Closed Rhinoplasty?
Open and closed refer to two basic techniques in rhinoplasty surgery. A closed procedure is performed through incisions made inside the nose, leaving no external incisions to heal. In an open rhinoplasty, an incision is made across the columella, which is the section of soft tissue separating the nostrils. While it is a small incision, it is still an external wound that has the potential for a visible scar, though it usually heals well.
Naturally, the closed approach has the advantage of no external incision and therefore no scar. Sometimes closed operations also lead to a slightly shorter recovery time and decreased swelling, revealing the new nose on a shorter timeline. However, it goes without saying that this approach does not provide the surgeon with the same level of visibility as an open procedure.
Open rhinoplasties allow the surgeon to lift the skin off the bridge of the nose. This provides better visibility for the surgeon to visualize the structures of the nose. This can also provide better access for more involved procedures, such as revision rhinoplasties. An open approach can also provide better access to reshape the tip of the nose, and for the use of some techniques for altering the internal structure of the nose. One potential downside of this approach is that the tissues providing structure to the nose can be weakened and internal grafts may be required.
As with any surgery, it is important to discuss the best approach for your particular case with your surgeon. The type of rhinoplasty performed will depend on your particular nasal structure, goals, and your surgeon’s personal preferences. It is important to find a qualified surgeon you trust to ensure the optimal result for you.
Ask Dr. Becker a question or arrange an appointment for a nose surgery consultation by calling 856-589-NOSE (6673) or e-mailing us.