Difference Between Closed and Open Rhinoplasty?

What is the difference between closed and open Rhinoplasty. How do you know which is right for you? Thank you.

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18 Doctor Answers | Asked by mommy dearest

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Open Rhinoplasty improves access to your underlying nasal structure of cartilage and bone.

I think the important question should be: "What do I need to do to get a great result from my Rhinoplasty surgery?" I use an open approach in the vast majority of Rhinoplasty surgeries. This is how I was trained, and my particular technique allows me to deliver consistent, natural results, with very high patient satisfaction. The scar in your columella heals very well to invisible in most people, so in my view, the scar is not a negative. I do not think downtime is prolonged with... more

Eric M. Joseph, MD

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West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Open Versus Closed Rhinoplasty-Open Allows More Detailed Refinement Of Tip

Thank you for your question. The main difference between Open and Closed Rhinoplasty is that a small incision is made on the underside of the nose-the Columella during an open approach. This incision is usually well hidden and only seen if you lift your head back so someone can see the underside of your nos. The skill of your surgeon is the most important factor in achieving a good result. That said, the surgeon is able to see and more accurately modify the nasal structures... more

Open Versus Closed Rhinoplasty

The question of which surgical approach to rhinoplasty is the "best" -- Open versus Closed -- is one of the most frequently debated topics among Rhinoplasty Specialists. Unfortunately, there is not a simple answer to this question. However, gaining a better understanding of what is involved with each technique and becoming familiar with the advantages and potential disadvantages of each is the first step. Rhinoplasty is accomplished by removing excess bone and cartilage from... more

Open or closed rhinoplasty

Here is the difference. Closed rhinoplasty involves working entirely through the nostril. Open rhinoplasty adds an incision across the columella, the skin between the nostrils. I prefer the closed method. It is simpler, takes less time and has less tip swelling. The most important factor is the skill and experience of the particular surgeon, not which method is used. Make sure you see lots of the surgeons work and if you are not crazy about their results,... more

Closed rhinoplasty and open rhinoplasty

The difference between a closed and open rhinoplasty is simply the external columellar incision. The incision itself will be noticeable for several months after the surgery, and the nose will take longer to heal because of the lymphatic drainage that must re-channelize. The nose will stay swollen for a longer period of time after an open rhinoplasty versus a closed rhinoplasty. The incisions for the closed rhinoplasty are completely identical to the open with the exception of the... more

Open or Closed Rhinoplasty

Hi, Thank you for your question. Open rhinoplasty is used for more major reshaping. External incisions are made on the vertical part of your nose (columella) as well as the inside. The skin and soft tissue are pulled away so the surgeon can see the internal anatomy of the nose. A closed rhinoplasty is usually for minor reshaping. The incisions are made inside of the nose and the skin is separated from the bone and cartilage. Once this is done, the bone and cartilage can be altered or... more

Differences of Closed vs. Open Rhinoplasty

The biggest difference between the open and closed rhinoplasty is a small incision on the columella (bottom) of the nose. This 6 mm incision allows the surgeon to peel the skin of the lower nose back to fully visualize the tip and dorsum of the nose. In the closed procedure, there is not as much visualization since the skin is not peeled back. I use the open approach for any rhinoplasty that needs extensive tip or dorsal work. If the patient, just has a slight dorsal hump, I would then... more

Choose the best surgeon

An open rhinoplasty, as the name implies, involves lifting the skin and soft tissues off the dorsum of the nose. This gives much better visualization , and a more precise rhinoplasty. The most important factor is not the procedure , but rather choosing the right surgeon. Someone who has an extensive experience in cosmetic nose surgery and is comfortable with both procedures.

Closed vs Open Rhinoplasty

This can be argued by both sides, but I perform both the open and the closed. It really depends on the patient and what you are trying to achieve. The open rhinoplasty does give you much better exposure and visualization of the structures. It is also much better approach for patients that require tip work. Hope that helps answer your question.

Closed versus open rhinoplasty

Whether closed versus open rhinoplasty is best for you depends on your examination. Closed involves incisions inside of your nose, while open requires a very small incision across your columella (bottom of your nose between your nostrils). Both procedures are good when performed on the appropriate patients. Good luck with your surgery.