In order to preserve functionality of the nose and achieve the desired aesthetic outcome, surgeons not only need to master a variety of specialized techniques, but also need to have the judgment and natural ability to choose the right techniques for each individual situation.

The two routinely practiced techniques in rhinoplasty are open and closed procedures.

‘Open’ Rhinoplasty Procedure (The External Approach)

This procedure involves making an extra incision on the columella or nasal septum along with internal nasal incisions. This extra incision gives the surgeon an easy access to the internal structures of the nasal region.

Scarring might occur, although this is not very visible and almost disappears as the wound heals. Open surgery is slightly more invasive than the closed technique and may involve a different recovery period, with a potential for greater swelling and pain.

This technique came into existence about a decade ago and since then, most surgeons have begun to consider this as a more superior technique, especially when operating on challenging cases.

‘Closed’ Rhinoplasty Procedure (Endonasal Approach)

The terms rhinoplasty and endonasal or closed procedure were synonymous until the open approach gained more popularity. However today, both terms have gained a distinct place in rhinoplasty nomenclature. 

The closed procedure is a preferred choice in less challenging cases wherein nose structure can be altered with internal (or endonasal) incisions. These patients have excellent shape of the tip of the nose, have little or no hump to be removed and surgical repair is minor. The main benefits of this procedure are zero scarring and a quicker return to a normal appearance.

Consult With A Professional Plastic Surgeon

Consultation with an experienced, trustworthy and board certified plastic surgeon, capable of recommending the best procedure to suit an individual’s requirement, would provide the most satisfying outcome.