Open vs. Closed Rhinoplasty: What’s the Difference?

ben-lee-eyesAre you getting a nose job?

One of the factors that Dr. Ben Lee will discuss with you during your consultation is whether you would opt for an open or closed rhinoplasty. Both of these procedures have the same end goal, which will reshape, add or reduce the size, or improve the angle of your nose.

However, these rhinoplasty techniques have more differences than similarities. To help you understand what their distinctions are, we’ll dive in a little deeper on what open and closed rhinoplasty are, as well as their advantages and disadvantages.

Open or External Rhinoplasty

This is a technique where an incision is made along the soft tissue between your nostrils, also known as columella. This small incision will allow Dr. Lee to open and flip the tip of your nose up so he can see and gain access to the underlying structure of your nose.

The distinct advantage of having direct visualization of the nose’s cartilage structures allows for better control and precision on Dr. Lee’s end. There is also a high level of accuracy when it comes to reshaping the nose. Additionally, open rhinoplasty reduces the risk of nasal cartilage distortion.

If you are getting a nose job to either increase or decrease the amount of projection, an open rhinoplasty will serve you better.

The downside to this procedure, however, is that post-surgery scar is more visible because the incision is made externally.

Closed or Endonasal Rhinoplasty

In this surgical technique, the incision is positioned inside the nostril. The parallel incision will encircle almost half of the lining inside your nose, but the scars will not be visible from the outside. This approach makes it the preferred choice for patients who would like to keep their rhinoplasty procedure discreet or less obvious.

Additionally, closed rhinoplasty is considered less invasive than open rhinoplasty, so the entire length of the procedure is relatively short. There’s also less swelling and reduced post-surgery downtime.

However, closed rhinoplasty makes the repositioning of nasal skin challenging due to the disconnection between the right and left incisions. The risk of nasal cartilage distortion is also increased because the visibility of the underlying structure and its surgical access are limited.

Which one is right for you?

The answer to this question depends largely on your desired results and your nose’s natural anatomy. Regardless of whether you choose open or closed rhinoplasty, you can be assured that Dr. Ben Lee will provide you with the results you are looking for.

To schedule a consultation, complete our online form or call Dr. Lee’s practice at (303) 770-1379.