Rhinoplasty is a term that typically encompasses both types of rhinoplasty procedures. The two different procedures, one being open and the other being closed, are drastically different. They are used to achieve different results, so your surgeon may recommend one over the other for one or more reasons. While you should defer to the professional and medical opinion of your surgeon (and a second, if a second opinion is desired), it helps to know what related terms mean before you begin the process.
Open rhinoplasty consists of an incision on the fleshy part of the nose, between the nostrils. As you have probably guessed, this type of rhinoplasty is performed from outside of the nose.
Closed rhinoplasty, on the other hand, involves incisions inside of the nostrils. This leads this type of surgery to being conducted from the interior of the nose’s structure.
Let’s consider each type of rhinoplasty surgery further, shall we?
This type of rhinoplasty is used when the surgeon needs direct access to the entirety of the nose structure. By slicing the flesh between the nostrils (which is known as the columella), the surgeon can then flip open the skin and get a good look at the entire nose. This very precise method of performing rhinoplasty is most commonly advised if you have had failed rhinoplasty in the past or have endured structural collapse as a result of any other reason.
Surgeries that call for a very drastic reshaping of the nose will typically be open in nature.
If minor reshaping is the goal of the procedure, closed rhinoplasty is generally preferred. This type of rhinoplasty is conducted strictly inside of the nose, as the surgeon operates within the nostrils without severing the columella. Many patients and surgeons alike prefer this approach to rhinoplasty because it is less invasive, allows for a faster healing time, causes no visible scarring and creates less swelling post-surgery than an open rhinoplasty.
Your surgeon will confer with you to discuss what exactly needs to be done to restore your nose to ideal appearance and functionality. They’ll outline the benefits of open or closed rhinoplasty as they apply to your unique situation and help you to make an informed decision.
If you have experienced a severe and unwanted change in your nose’s structure, such as a break that left it dramatically askew, an open rhinoplasty may be best called for. If you are looking to “fine tune” your nose to your exact preference, on the other hand, closed rhinoplasty could be the ticket. Discuss your options with your surgeon before committing to any of your options.
