Rhinoplasty: Open vs Closed Technique

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Rhinoplasty: Open vs Closed Technique

Rhinoplasty, more commonly known as a nose job or nose surgery is typically performed to improve either the appearance or functionality of your nose. Some of the most common outcomes include:

  • Change the size of your nose
  • Adjust the shape of the tip of your nose
  • Align a crooked nose
  • Smooth down a bump in your nose
  • Correct cosmetic issues
  • Improve your breathing

There are two unique approaches Dr. Rieger can take to achieve the results you want: open and closed rhinoplasty. Which technique to use can cause some confusion, so we break it down for you here.

Open Rhinoplasty

Open Rhinoplasty or external rhinoplasty involves making a small bridging incision on the soft tissue that separates the nostrils. The open technique allows for more access to the underlying bone and cartilage which leads to improved accuracy when re-shaping the nose. When intricate suturing or grafting is required, this technique provides a much clearer view. Because of the trans-columellar incision, the open technique can leave a small scar.

Closed Rhinoplasty 

Closed rhinoplasty or endonasal rhinoplasty is performed by making all of the surgical incisions inside the nostrils. Under general anesthesia, the procedure is performed through separate surgical openings in the left and right nostrils. This method is used most often and requested by patients since the incision cannot be seen externally, meaning no visible scarring. The closed approach allows for faster operation time and has slightly less swelling during recovery due to the lack of the columellar incision.

Post-Surgery Splint

Open and closed rhinoplasty recovery will require you to wear a splint on your nose for at least 5-7 days. The splint plays a very important role in the healing process — it holds your cartilage and bone in position to maintain and protect its new shape. It also helps to minimize swelling and provide a visible reminder to you and others to be careful. The longer you can wear the splint, the better.

Schedule Your Rhinoplasty Consultation

With over 30 years of experience performing thousands of rhinoplasty surgeries, Dr. Rieger is an expert at both the open and closed rhinoplasty techniques. He will discuss which approach is best for you and create a plan during your consultation. Call today and get the nose you always wanted.