Differences Between Open and Closed Rhinoplasty

Rhinoplasty, commonly known as a ‘nose job’, holds a profound allure for individuals seeking to enhance their facial harmony and self-confidence. Whether correcting nasal imperfections, refining the nasal tip, or improving breathing function, rhinoplasty offers a transformative pathway to achieve aesthetic goals. 

Embarking on the journey of rhinoplasty entails navigating various decisions, among which choosing between an open or closed approach is one of the first.

Understanding Open Rhinoplasty

Open rhinoplasty, also known as external rhinoplasty, involves creating a small incision across the columella, the strip of tissue between the nostrils. This approach provides direct access to the underlying nasal structures, allowing for precise manipulation and reshaping of the nose. The open technique is often preferred for complex cases requiring extensive modifications or revisions.

Understanding Closed Rhinoplasty

Closed rhinoplasty, or endonasal rhinoplasty, is performed entirely within the nostrils, without any external incisions. This technique relies on internal access to the nasal framework, making it less invasive and resulting in minimal visible scarring. Closed rhinoplasty is typically favoured for patients seeking subtle refinements or minor adjustments to the nose.

Comparing Considerations

Visibility of Scarring

Open Rhinoplasty leaves a small scar on the columella, which is usually inconspicuous and fades over time. Conversely, Closed Rhinoplasty does not result in any visible external scarring since all incisions are made inside the nostrils.

Surgical Access

Open Rhinoplasty provides a direct view of the nasal structures, facilitating precise modifications and complex revisions. Conversely, Closed Rhinoplasty requires working within the confines of the nostrils, limiting visibility and accessibility for intricate adjustments.

Operative Time and Recovery

Open Rhinoplasty may require slightly longer operative time due to the need for meticulous dissection and suturing. Conversely, Closed Rhinoplasty generally has a shorter operative time and quicker recovery period since there are no external incisions.

Suitability for Revision Surgery

Open Rhinoplasty offers easier access for revision surgery or secondary procedures if needed in the future. Conversely, Closed Rhinoplasty can be more challenging to revise, especially for complex cases requiring extensive modifications.

Choosing the Right Approach for You

As individuals contemplate the prospect of rhinoplasty, the choice between open and closed techniques emerges as a significant consideration. Both approaches possess their own set of advantages and considerations, compelling patients to weigh their options carefully. The decision to opt for open rhinoplasty, with its external incision across the columella, may stem from the desire for enhanced surgical precision and visibility of nasal structures. Conversely, those inclined towards closed rhinoplasty may prioritise the prospect of minimal scarring and quicker recovery, as this technique involves solely internal incisions within the nostrils.

Beyond the technical aspects, the decision between open and closed rhinoplasty may also be influenced by personal preferences and anatomical factors. Some individuals may feel more comfortable with the idea of a visible external incision, confident in the hands of a skilled surgeon who can utilise the open approach to achieve precise nasal reshaping. Others may prioritise discretion and minimal scarring, opting for the closed technique to achieve subtle yet impactful improvements to their nasal aesthetics.

Ultimately, the decision between open and closed rhinoplasty embodies a balance between surgical expertise, aesthetic goals, and individual preferences. By consulting about the intricacies of each technique with a board-certified plastic surgeon specialising in rhinoplasty, patients can embark on their journey with confidence, knowing they have made an informed decision tailored to their unique needs and aspirations.


Open and closed rhinoplasty each offer distinct advantages and considerations, catering to a diverse range of patient needs and preferences. Whether you opt for the direct access and precision of open rhinoplasty or the minimal scarring and quicker recovery of closed rhinoplasty, the key is to choose an experienced surgeon who can tailor the procedure to your individual anatomy and aesthetic objectives. By understanding the nuances of each technique and consulting with a qualified specialist, you can embark on a transformative journey to achieve the nose you have always desired.

Reach out to us at Eagle Aesthetics & Surgery to schedule your confidential consultation and assessment.


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