Open vs. Closed Rhinoplasty: Understanding the Key Differences

Many people considering rhinoplasty

wonder about the differences

between open and closed techniques,

and which method is more suitable for them.

Although these procedures may seem

to differ only in incision location,

they actually vary in purpose, surgical approach,

and scope of correction.

Rather than deciding which method is 'better,'

the more important factor is choosing

the approach that best fits

your individual nasal structure and aesthetic goals.

"Open Rhinoplasty"

Open rhinoplasty involves an incision

made on the columella (the skin between the nostrils),

allowing direct visualization of the internal nasal structures.

This approach provides excellent visibility,

enabling precise implant placement

and highly detailed shaping and correction.

It allows structural access to:

• Nasal tip cartilage

• Septal cartilage

• Overall nasal framework

However, open rhinoplasty does result in

a small incision scar on the columella

and typically involves a longer recovery period.

"When Open Rhinoplasty

May Be Recommended"

*For detailed nasal tip shaping

• Nasal tip extension

• Bulbous, low, or twisted nasal tip

• Weak nasal tip support (septum) or collapse

When septal issues need correction

*Deviated septum

• Need for septal cartilage harvest

• Structural issues causing nasal obstruction

For upturned or short nose correction

• Short nasal tip or upward-rotated cartilage

• Requires cartilage reinforcement and tip extension

*For complex revision rhinoplasty

• Cartilage deformation from previous surgery

• Contracted nose (progressive shortening)

*Cartilage adhesion

For significant nasal asymmetry

Open rhinoplasty is advantageous

not only for aesthetic improvement

but also when structural correction

and cartilage repositioning are required.

"Closed Rhinoplasty"

Closed rhinoplasty is performed

through incisions made entirely inside the nose,

with no external incision on the columella.

Because the incision range is minimal,

recovery is generally faster,

and concerns about visible scarring are significantly reduced.

Closed rhinoplasty is suitable for cases such as:

• Nasal bridge implant placement

• Minor nasal tip refinement

• Alar (nostril) adjustments

When major structural changes are unnecessary,

closed rhinoplasty can be an effective option.

However, because internal visibility is limited,

it has constraints in cases requiring

extensive septal reconstruction.

"When Closed Rhinoplasty

Is Most Effective"

Closed rhinoplasty is best suited for

subtle corrections and natural enhancements.

*Limited correction scope

• Satisfactory nasal tip shape, but desire to raise the bridge

• Implant placement only

• No internal structural deformities

*Minimal nasal tip adjustment

• Slightly drooping tip

• Minor refinement without cartilage repositioning

"The Key Is Not Which Method Is Better,

But Which One Is Right for You"

There is no superiority between the two techniques.

To achieve the results you want,

we strongly recommend a thorough consultation

and an accurate diagnosis

based on your unique nasal anatomy and goals.