Open vs. closed rhinoplasty: what’s the difference?

A rhinoplasty can subtly yet permanently change your face. But did you know that there are different surgical techniques? The two most commonly used methods are open rhinoplasty and closed rhinoplasty.

In this blog, we explain the differences, the pros and cons of each approach, and help you discover which technique best suits your wishes and anatomy.

What is open rhinoplasty?

In an open rhinoplasty, the surgeon makes a small incision between the nostrils (the columella). This allows the skin to be lifted, giving the surgeon direct visibility of the underlying nasal structures.

Advantages

• More visibility and control for the surgeon

• Very suitable for complex corrections, such as a crooked nose, nasal tip correction or revision surgery

• Allows for highly precise adjustments

Disadvantages

• A small scar, which is usually barely visible

• Slightly longer recovery time due to increased swelling

What is closed rhinoplasty?

In a closed rhinoplasty, all incisions are made inside the nose. This means there are no visible external scars.

Advantages

• No visible scarring

• Shorter surgery time

• Less swelling and often a faster recovery

Disadvantages

• Less direct visibility for the surgeon

• Mainly suitable for smaller corrections, such as removing a bump on the nasal bridge

When do you choose open or closed rhinoplasty?

• An open rhinoplasty is usually chosen for:
  • A crooked or asymmetrical nose
  • Nasal tip correction
  • Revision rhinoplasty
• A closed rhinoplasty is usually chosen for:
  • Minor adjustments
  • Removing a small bump
  • Slight reduction of the nose

Frequently asked questions

• Is open rhinoplasty more painful?
  No. The level of pain is comparable, although swelling may last slightly longer.

• Will a scar remain visible?
  The scar from an open rhinoplasty is usually barely noticeable once healed.

• Which technique does doctor Bart use?
  This depends on your nose and your wishes. During a consultation, doctor Bart explains which technique can provide the best possible result.

Conclusion

Both open and closed rhinoplasty have their advantages. The right choice depends on your personal wishes and the complexity of the procedure. During a consultation, doctor Bart will always advise which technique best suits your nose and the result you want to achieve.

Curious to see what I can do for you? Please submit your details and the requested photos via the form on this page.