Open vs Closed Rhinoplasty

Nose surgery is the most common way to improve the appearance of your nose. It can make your nose bigger or smaller and change its shape in other ways. If you’re unhappy with the size or shape of your nose, you may be considering getting a nose job, or rhinoplasty.

There are two main types of rhinoplasty: open and closed. In an open rhinoplasty, the surgeon makes an incision (cut) in the skin between your nostrils. This gives him or her direct access to the bone and cartilage underneath. In a closed rhinoplasty, the surgeon accesses the inside of your nose through small incisions inside your nostrils.

Both procedures have their own advantages and disadvantages. Keep reading to learn more about open and closed rhinoplasty and which one might be right for you.

What is Open Rhinoplasty?

Open rhinoplasty involves making an incision in the tissue between your nostrils, known as the columella. This allows your surgeon direct access to the bone and cartilage of your nose.

Open rhinoplasty gives your surgeon a clear view of your nasal structure, which can be helpful if you have complex corrections to make. It also allows your surgeon to make precise changes to the shape of your nose.

However, open rhinoplasty also has some drawbacks. Because it involves an external incision, it generally results in more swelling and bruising than closed rhinoplasty. It also carries a slightly higher risk of infection.

What is Closed Rhinoplasty?

Closed rhinoplasty, also called endonasal rhinoplasty, involves making incisions inside your nostrils. This approach doesn’t require any cuts to the tissue between your nostrils.

Closed rhinoplasty has several advantages over open rhinoplasty. Because it doesn’t involve an external incision, it generally results in less swelling and bruising. It also has a lower risk of infection.

However, closed rhinoplasty has some drawbacks as well. Because your surgeon can’t see your nasal structure as clearly, it may be more difficult to make complex corrections. And, because the incisions are made inside your nostrils, they may be more visible than the incision made in open rhinoplasty.

Advantages of Open Rhinoplasty

Open rhinoplasty has several advantages over closed rhinoplasty, including:

• Allows your surgeon a clear view of your nasal structure
• Precise changes can be made to the shape of your nose
• A relatively common procedure
• Recovery time is typically shorter than with closed rhinoplasty
• Less risk of complications such as infection
• May be less expensive than closed rhinoplasty

Disadvantages of Open Rhinoplasty

Open rhinoplasty also has some disadvantages, including:

• More swelling and bruising than closed rhinoplasty
• Longer recovery time than closed rhinoplasty
• Higher risk of infection
• May be more expensive than closed rhinoplasty

Advantages of Closed Rhinoplasty

Closed rhinoplasty has several advantages over open rhinoplasty, including:

• No external incisions
• Less swelling and bruising
• Shorter recovery time
• Lower risk of infection
• May be less expensive than open rhinoplasty

Disadvantages of Closed Rhinoplasty

However, closed rhinoplasty also has some disadvantages, including:

• More difficult to make complex corrections
• Incisions may be more visible than with open rhinoplasty
• Longer recovery time than open rhinoplasty
• Higher risk of complications such as infection
• May be more expensive than open rhinoplasty

What is Better, an Open or Closed Rhinoplasty?

There’s no easy answer to this question. The best type of rhinoplasty for you will depend on your specific goals and concerns. Your surgeon will also factor in your unique nasal anatomy.

In general, open rhinoplasty is a good option if you’re looking for detailed corrections or if you have complex nasal anatomy. Closed rhinoplasty may be a better option if you’re looking for minor corrections or if you have sensitive tissue.

How Long Does Closed Rhinoplasty Take?

Closed rhinoplasty is typically quicker than open rhinoplasty. The procedure usually takes about 1 to 2 hours.

How Long Does Open Rhinoplasty Take?

Open rhinoplasty usually takes about 2 to 3 hours.

Where Can I Have a Rhinoplasty Procedure?

Rhinoplasty procedures can be performed in either an outpatient surgical centre or a hospital. Your surgeon will discuss the best option for you during your consultation.

Both closed and open rhinoplasty procedures are outpatient surgeries that can be performed in a surgical centre or hospital. Your surgeon will discuss the best option for you during your consultation.

What Happens After a Rhinoplasty Procedure?

After your surgery, you’ll need to rest with your head elevated for the first few days. You may also have a splint placed on your nose to help support it as it heals.

You can expect some swelling and bruising around your eyes after surgery. This usually goes away within a week or two. However, it may take several months for all the swelling to disappear completely.

Most people can return to work and other normal activities within a week or two. However, you should avoid strenuous activity for at least 4 to 6 weeks.

It’s important to follow your surgeon’s instructions during your recovery to ensure a successful outcome.

How Much Does a Rhinoplasty Procedure Cost?

The cost of a rhinoplasty procedure can vary depending on several factors, including the type of procedure, the surgeon’s fees, and the location of the surgery. In general, open rhinoplasty is more expensive than closed rhinoplasty.

What Are the Risks of a Rhinoplasty Procedure?

Rhinoplasty is generally a safe and effective procedure. Most patients are very happy with their results. However, as with any surgery, there are some risks involved.

The most common complications after rhinoplasty include:

• Bruising and swelling
• Nasal blockage
• Infection
• Nosebleeds
• Persistent pain
• Unsatisfactory results

Serious complications are rare, but can include:

• Anaesthesia complications
• Blood clots
• Nerve damage
• Smell disturbances
• Difficulty breathing

Before you decide to have surgery, it’s important to discuss the risks with your surgeon. Just remember, generally, the risks are low and the rewards can be high.

In Closing

Rhinoplasty is a safe and effective procedure that can help you achieve your desired appearance. The type of rhinoplasty that’s best for you will depend on your goals and concerns. Be sure to discuss all your options with your surgeon to make sure you choose the right procedure for you.

If you’re considering rhinoplasty, it’s important to find a qualified, experienced surgeon you trust. At LINIA Cosmetic Surgery we specialise in rhinoplasty and other facial rejuvenation procedures. To learn more about what we do please schedule a consultation by contacting our office today.

Posted In: Face Treatments Blogs

Written By: Dr Khalid Irshad