The two major types of rhinoplasty are the open and closed rhinoplasty. In the closed rhinoplasty, there are no incisions made on the nose unless the base of the tip is narrowed. If this is done (it is done in open rhinoplasties also), then the scars should be located in the nasal-cheek crease at the sides of the nasal bases. These are usually well hidden in the crease and not noticeable. In the open rhinoplasty, an incision is made across the column between the two nostrils near the bottom edge of the nostrils. If closed properly, the scar is not seen at conversational distances. Doctors who use this approach feel that the more exposure it affords them to the bone and cartilages, the better the results will be. Surgeons who have large rhinoplasty practices and who are speaking at national meetings now use this approach.




