5 Important Facts About Open Rhinoplasty

When it comes to rhinoplasty, patients have two options – Endonasal Rhinoplasty: the closed approach or External Rhinoplasty: the open approach. Both of these rhinoplasty methods are commonly used in the nose job industry. Open rhinoplasty means an incision along the columella (soft tissue between the nostrils), while closed rhinoplasty means that all of the incisions are inside the nostril.

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While both of these approaches are used, open rhinoplasty has been a more successful and safer route for surgeries requiring larger deformations or corrections. Closed rhinoplasty will give you faster results but not necessarily better ones.

Here are 5 important facts that you should know about open rhinoplasty before going to your nose surgeon.

Makes it Easier for the Surgeons

When you opt for closed rhinoplasty, all the incisions are inside of the nostril. Depending on the size of your nostril, the surgeon will have a hard time operating inside. The closed rhinoplasty method’s technical nature is extremely demanding and rigorous, and therefore, this method generally requires a skilled rhinoplasty surgeon.

That’s why open rhinoplasty is the preferred method in extreme cases, as it gives the surgeon more wiggle room. The surgical access provided by the open method is unmatched by closed rhinoplasty.

Refined Nose Job

With closed rhinoplasty, the surgeon changes the structure with more feel than sight. He does not have a directly visible path to the cartilage. In simpler cases, this will create no problems. But if the correction required is significant, then it is better with an open rhinoplasty.

The anatomy of the patient’s nose can be studied and changed as desired. In most cases with a large amount of projection (nose sticking out from face) or deprojection (pushing nose closer to face), open rhinoplasty becomes compulsory.

Healing Starts Even Before the Surgery

The main fear people have with open rhinoplasty is of the recovery period. It takes longer to recover from an open rhinoplasty compared to the closed procedure. But this is mainly the case when proper pre-surgery guidelines are not followed.

Before surgery, stop taking medications and supplements that can interfere with the healing. Aspirin, vitamin E, and fish oil should be avoided. These supplements cause the blood to be thin, which serves as an inconvenience for the surgeon.

V-Plasty Makes Scarring a Non-Issue

Patients believe that open rhinoplasty will make scarring a big problem. Generally, closed rhinoplasty leaves almost no mark after the surgery. Nowadays, open rhinoplasty is operated with an inverted V shape incision.

With a V-Plasty incision, the risk of your scar being visible is minimal. In fact, many patients won’t even see the scar themselves as this technique results in a nearly invisible scar. This scar is usually present below the nose’s tip and is not visible from either side or front.

More Natural Way

The open method is definitely more time consuming and requires a longer healing period, but ultimately it is closer to the natural way. Here, the top skin is removed, keeping the cartilage structure relatively in its natural position. This helps the surgeon to visualize the nose in its natural form.


Open rhinoplasty has been a more successful and safer route for nose surgeries requiring larger deformations or corrections. Here are five important facts that you should know about open rhinoplasty before going to your rhinoplasty surgeon.