The Seattle

Plastic Surgery Center

William A. Portuese, M.D.

Closed Rhinoplasty Vs Open Rhinoplasty

Rhinoplasty is a surgical procedure designed to correct deformities, restore function, and/or improve the aesthetic appearance of the nose. This article will provide an overview of closed rhinoplasty versus open rhinoplasty, two different techniques used in rhinoplasty surgery. The anatomy of the nose, indications for each technique, and potential risks and benefits associated with each will be explored.

Closed rhinoplasty is a technique that involves making incisions within the nostrils in order to access the structures that need to be altered during surgery. This approach can be beneficial as it does not leave visible external scars on the face. Open rhinoplasty is a technique that involves making an incision along the columella in order to access the internal nasal structures. This approach allows for greater visibility and more precise changes when compared to closed rhinoplasty but may leave a visible scar along the columella.

The decision between choosing open or closed rhinoplasty must be made by both patient and surgeon based on their individual goals and anatomic features of the patient’s nose. An understanding of both techniques is necessary in order to make an informed decision about which approach is best suited for each patient’s needs.

Definition Of Rhinoplasty

Rhinoplasty is a surgical procedure that reshapes and modifies the structure of the nose in order to improve its appearance. It may be performed for cosmetic reasons, or to correct breathing problems caused by structural deformities. The procedure can be done using either an open or closed approach. In an open rhinoplasty, the surgeon makes an incision on the skin between the nostrils and then lifts the skin off of the underlying structures. With a closed rhinoplasty, all incisions are made inside of the nostrils, allowing for minimal visible scarring.

The goal of rhinoplasty is to improve nasal symmetry and balance by reshaping cartilage, bone, and soft tissue in order to create a more aesthetically pleasing appearance. Depending on the patient’s specific needs, this may include removal or alteration of cartilage or bone, repositioning of tissue, adjusting tip shape or size, narrowing or widening certain areas, reducing bumps on bridges and noses, changing tip angles or rotations, and/or improving nostril shape and size.

Rhinoplasty is considered to be one of the most complex facial plastic surgeries due to its intricate anatomy and numerous potential complications that can arise if not performed properly. It requires extensive knowledge of facial anatomy along with considerable skill in order to produce excellent results with minimal scarring and recovery time.

Overview Of Closed Rhinoplasty

Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical procedure that reshapes the nose without making any external incisions. It is a less invasive technique than open rhinoplasty because it does not require an external incision and can be done through the nostrils. During the surgery, the surgeon makes small incisions inside the nose to access the cartilage and bone for reshaping of the nose. The advantage of closed rhinoplasty is that there is no visible scarring on the outside of the nose and post-surgical swelling may be less noticeable than with open rhinoplasty.

The techniques used in closed rhinoplasty depend on what kind of corrections are needed and can include sutures, cartilage grafts or use of soft tissue fillers such as hyaluronic acid. Because only small incisions are made inside the nose, this technique allows for more precision when sculpting delicate features of the nose like the tip or bridge. It also allows for greater control over how much tissue should be removed or reshaped in order to achieve desired results.

Closed rhinoplasty requires a surgeon with advanced skill and knowledge about nasal anatomy in order to achieve optimal results. This technique can correct minor imperfections but might not be suitable for more complex cases such as correcting a deviated septum or reducing large bumps on the bridge of the nose. Furthermore, closed rhinoplasty takes longer than open rhinoplasty because surgeons must work around existing structures through limited access points provided by nostrils. Patients should consult with their doctor to discuss which type of procedure is best suited for their individual needs and goals.

Overview Of Open Rhinoplasty

Open rhinoplasty is an approach to nasal surgery that has been used for decades. In this procedure, a small incision is made at the columella, the strip of skin between the nostrils. This incision allows the surgeon to access the underlying bone and cartilage of the nose and make changes directly to these structures. The benefits of open rhinoplasty include increased visibility and precision while performing the operation. Open rhinoplasty also enables detailed refinements to be made that may not be possible with closed rhinoplasty, such as correcting any asymmetries or irregularities in the nasal bones or cartilage. Following open rhinoplasty, there is a visible scar along the columella where the incision was made; however, this scar typically fades over time.

The risks associated with open rhinoplasty are similar to those associated with closed rhinoplasty. These include bleeding, infection, numbness of the skin in certain areas, unfavorable scarring or asymmetry of the nose following healing, and breathing difficulties due to changes in airway size or shape. However, due to its greater precision and detail in making structural changes within the nose during surgery, open rhinoplasty generally produces more favorable cosmetic results than closed techniques do.

In comparison to closed techniques, open rhinoplasty offers increased visibility into structures beneath the skin which allows for greater accuracy when making corrections and refinements to nasal shape and size. It also enables more detailed work on delicate structures within the nose resulting in improved cosmetic outcomes when compared with closed techniques.

Benefits Of Closed Rhinoplasty

Closed rhinoplasty is a surgical procedure in which the incisions are made on the inside of the nose, rather than externally. This method has several advantages over open rhinoplasty.

The first advantage is that closed rhinoplasty leaves no external scarring. Incisions are made within the nostrils and do not leave any visible marks on the outside of the nose. This is beneficial for many patients who want to avoid having any evidence of surgery on their face.

Closed rhinoplasty also offers more precision with regards to sculpting changes to the nasal structure. The surgeon can access all parts of the nose without making an external incision, allowing them to make more precise adjustments to reshape or resize it. Additionally, this method allows for greater control over tissue manipulation and nasal tip projection as compared to open rhinoplasty.

The result is a more aesthetically pleasing outcome with less visible signs of surgery, such as swelling and bruising, due to minimal disruption of tissues during the procedure. Furthermore, closed rhinoplasty has a quicker recovery time than open rhinoplasty since there is less trauma caused by tissue handling and less risk of complications post-surgery.

Benefits Of Open Rhinoplasty

Rhinoplasty, more commonly known as a nose job, is a cosmetic procedure that has been performed for many years. There are two types of rhinoplasty procedures: open and closed. Open rhinoplasty is when the surgeon makes incisions along the columella, the area between the nostrils, while closed rhinoplasty involves making incisions inside the nostrils only. Each technique offers advantages and disadvantages and which type of procedure is best depends on the patient’s unique needs.

Open rhinoplasty provides direct access to the underlying structures of the nose so that more complex modifications can be made with greater precision. It also allows for an increased amount of tissue manipulation, making it possible for larger changes in shape or size to be made. The visibility of the underlying structures makes it easier for surgeons to correct any asymmetries in size or shape and reduce scarring after surgery. Additionally, open rhinoplasty may reduce recovery time because there are fewer areas to heal compared with closed rhinoplasty.

Despite these benefits, open rhinoplasty is not always suitable for every patient because it requires more extensive incisions and may not be appropriate for those who have thin skin or poor healing abilities. In addition, due to its invasive nature, open rhinoplasty carries a higher risk of complications than closed rhinoplasty so patients should discuss all potential risks with their doctor before undergoing this procedure.

It is important for patients to understand both techniques in order to make an informed decision about which one is right for them. Although both types of procedures offer advantages and disadvantages depending on each individual’s situation, open rhinoplasty provides direct access to underlying structures and allows more precise tissue manipulation than closed rhinoplasty does – making it ideal for more complex modifications that require larger changes in shape or size.

Risks And Complications Involved With Each Procedure

Rhinoplasty is a surgical procedure that can be done to improve the shape and appearance of the nose or to correct breathing issues. There are two main types of rhinoplasty, open and closed. While both have risks and complications involved, each has its own unique set of risks.

Closed rhinoplasty involves making incisions inside the nostrils, allowing a more limited view of the nasal structure. Because of this limited view, there can be a greater risk for complications such as inadequate removal or reshaping of cartilage or tissue, asymmetry, or altered nasal airflow. Additionally, scarring may be more visible due to the incisions being made on the inside of the nostrils.

Open rhinoplasty requires an incision across the skin between the nostrils which gives surgeons a better view during surgery. This allows them to make more precise changes to the nose’s shape and size than with closed rhinoplasty. However, because it requires an external incision there is a greater risk associated with this procedure in terms of scarring and nerve damage that could affect sensation in areas around your nose.

In both cases there is also a risk for infection, bleeding, bruising and swelling after surgery which can take several weeks before subsiding completely. It is important for patients considering either type of rhinoplasty to weigh these risks carefully before proceeding with their decision.

Choosing The Right Procedure Based On Your Needs

When deciding between closed rhinoplasty and open rhinoplasty, the patient’s individual needs should be taken into consideration. Closed rhinoplasty is less invasive than open rhinoplasty and has a quicker recovery time. The procedure does not involve any external incisions, as the surgeon works through the nostrils to reshape the nose. This method is generally used for minor corrections, such as reducing the size of the nostrils or changing the shape of a bump on the bridge of the nose.

Open rhinoplasty requires an additional incision across the columella, which is located between both nostrils. This allows for more access to reshape and refine structural deformities that are more complex in nature. Open rhinoplasty also permits more control over placement of cartilage grafts for improving tip definition and projection. While requiring a longer healing period than closed rhinoplasty, open rhinoplasty offers greater precision with larger corrections.

The choice of which procedure to use should be discussed with a qualified plastic surgeon prior to surgery. In this way, patients can gain an understanding of their individual needs and how they can best be met by either closed or open rhinoplasty. It is important for patients to understand that each method has its advantages and limitations when it comes to achieving desired results from nasal surgery.

Post-Operative Care And Recovery Periods

Once the rhinoplasty procedure is complete, post-operative care and recovery periods will begin. While open and closed rhinoplasty have different techniques, the post-operative care and recovery periods are similar. During the first week following surgery, patients should avoid strenuous activities and contact sports, as well as follow any specific instructions given by their surgeons. Additionally, they should keep their head elevated when sleeping and take medications prescribed to them.

In terms of recovery periods, both open and closed rhinoplasty generally require one to two weeks off work or school. In some cases, physical activity may be resumed after two weeks with clearances from a physician. It is also important to note that for both procedures, swelling can last for several weeks or months depending on the individual’s healing process. However, it is possible to see minor results immediately following the surgery.

For optimal results with either open or closed rhinoplasty procedures, it is recommended that patients follow their surgeons’ instructions carefully during both the post-operative care period and recovery period in order to improve success rates and reduce potential complications.

Cost Considerations

When considering the cost of either a closed or open rhinoplasty, it is important to understand that there are several factors that determine the cost of the procedure. The type of anesthesia used, the amount of time required for the surgery, and any additional treatments needed will all have an effect on the total cost. In addition, experience and geographic location can also affect the overall cost.

Closed rhinoplasty typically costs less than an open rhinoplasty due to its shorter duration, as well as requiring less surgical equipment and supplies. An additional benefit of a closed rhinoplasty is that it generally needs only local anesthesia for mild cases. This further reduces the overall expense involved in this type of procedure.

Open rhinoplasty requires more complex tools and techniques and may require general anesthesia which can lead to higher costs due to the additional time and resources needed for the procedure. Additionally, when dealing with more complicated cases, multiple procedures may be necessary which could lead to increased expenses.

Overall, both closed and open rhinoplasties offer benefits depending on individual need, but understanding all associated costs should be taken into account when making a decision on which type of procedure is best suited for one’s situation.

Long-Term Results

The long-term results of closed and open rhinoplasty are similar, with both techniques providing lasting changes in the appearance of the nose. However, there are some advantages and disadvantages to each technique that should be taken into account when considering the best approach for a patient.

Closed rhinoplasty involves making incisions inside the nostrils, which is less invasive than open rhinoplasty and thus has a faster recovery time and less bruising and swelling post-operatively. Additionally, it also offers more control over tissue manipulation as well as a better view of the internal structure when compared to open rhinoplasty. On the other hand, closed rhinoplasty may be limited in its ability to address complex nasal deformities due to restricted visibility.

Conversely, open rhinoplasty allows for improved visualization of all nasal structures due to its external approach but comes with longer recovery times due to tissue manipulation and scarring on the external bridge area. Additionally, some surgeons prefer an open approach because they can make more accurate corrections of difficult nasal deformities while being able to accurately evaluate their work prior to suturing. However, this method may result in more post-operative swelling and bruising than closed rhinoplasty.

After considering these factors, patients should consult with their surgeon about which procedure is best suited for them based on their individual needs and goals. The choice between open or closed rhinoplasty depends on multiple factors such as desired outcome, complexity of the case, patient’s medical history,and surgeon’s experience level.


Rhinoplasty, commonly referred to as a “nose job,” is a surgical procedure used to alter the shape and/or size of the nose. The two main types of rhinoplasty are closed and open procedures. Each technique has advantages and disadvantages that should be carefully considered when deciding on the best treatment option.

Closed rhinoplasty involves making small incisions within the nostrils, which allows for precise reshaping of the nose without the need for external scars. Open rhinoplasty requires a small incision across the columella (the strip between the nostrils), allowing greater access to underlying structures during surgery. The procedure also offers an enhanced ability to fine-tune nasal structure and create more dramatic changes than closed rhinoplasty can achieve.

The choice between closed and open rhinoplasty will depend on individual patient goals and anatomical considerations. Patients should consult with an experienced board-certified facial plastic surgeon to discuss their needs and concerns before selecting their preferred technique. The surgeon can help determine if a patient is a better candidate for one type of rhinoplasty over another, ensuring optimal safety and results in both cases. With proper post-operative care and realistic expectations, patients can enjoy long-term results with either closed or open rhinoplasty techniques.

The Seattle

Plastic Surgery Center


Award Winning Highly Rated & Reviewed plastic surgeon Dr & medical clinic serving Seattle Wa 98104, King County, Bellevue, Kirkland, and Surrounding Areas. We offer a variety of surgical procedures and non surgical treatments for enhancement and rejuvenation.

Reach Us.

Copyright © 2022. The Seattle Plastic Surgery Center. All rights reserved.