Rhinoplasty: Q&A

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What is a Closed Rhinoplasty?

I have heard of a procedure called "closed rhinoplasty." What is this and what makes it different from other rhinoplasties?

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The difference between open and closed rhinoplasty

Closed rhinoplasty, also called endonasal rhinoplasty, involves incisions placed inside the nose. There are no visible external incisions in this approach. Open rhinoplasty, sometimes called external rhinoplasty, involves a tiny, inverted-V shaped incision being created in the columella, between the nostrils. If performed carefully and with attention to detail, this incision heals beautifully and nearly invisibly for the vast majority of patients. This approach allows the surgeon to see... more

Closed Rhinoplasty

Closed Rhinoplasty indicates that all incisions are made inside the nose, leaving no external scar. Open Rhinoplasty offers the surgeon more direct visualization of the structural anatomy of the nose, but there is more prolonged swelling of the nasal tip. There are equally expert surgeons who will choose one technique over the other. There is not one right answer: it is a matter of an expert's judgment and preference.

Closed vs open rhinoplasty

Closed and open rhinoplasty are two different ways to do a rhinoplasty. Neither is right or wrong, just different. In a closed rhinoplasty, all the incision are inside the nose. This might seem like this is advantageous. However, you can imagine closed rhinoplasty like doing detail surgery through a tiny, dark hole. Visualization is limited. For simple things like taking off a simple hump or increasing tip definition, this method is preferable.... more

Closed rhinoplasty can avoid external scar

Reshaping the nose using only internal incisions is referred to as "Closed". This contrasts with an external incision. The approach should be based on how best to correct the deformity present. A surgeon should be competent in both techniques.

Robert Mounsey, MD

5 reviews

Toronto Facial Plastic Surgeon

revesse.ca

Rhinoplasty with no visible scars

Closed rhinoplasty refers to the nasal surgery techniques where all the incisions are placed inside the nose, thus invisible, while open rhinoplasty has some visible incisions, even though they usually heal quite nicely. There is a debate among nasal surgeons as to the pro's and con's of each approach. In my hands I get best results using a closed technique, as I believe you can get some finesse in the tip than with the open approach. As you probably... more

Closed or Endonasal Rhinoplasty

The “closed” or endonasal rhinoplasty is the classic way of performing this surgery, while the “open” or external rhinoplasty has been the technique of choice (including mine) for the past 20 or so years particularly amongst surgeons in practice less than 20 years and/or those who perform a lot of revision procedures. My personal reasons for preferring the external approach is the improved visualization and the fact it maintains more tip support mechanisms and... more

Closed Versus Open Rhinoplasty

A "closed" rhinoplasty is really a misnomer because it would insinuate that no incisions are made. In fact, a closed rhinoplasty still has incisions, they are just hidden on the inside. A more proper name would be endonasal rhinoplasty which means through the inside. An "open" rhinoplasty has a single visible incision which goes across the columella (the thin piece of skin between your nostrils). The scar it leaves behind is quite innocuous but... more

Closed Rhinoplasty

There are two approaches to rhinoplasty: open rhinoplasty and closed rhinoplasty. In closed rhinoplasty, all the incisision are placed on the inside of the nose and no external scars are visible. Open rhinoplasty uses the same incisions as closed rhinoplasty with the addition of a small incision across the undersurface of narrowest portion of the column of tissue between your nostrils. With time, this scar is virtually unrecognizable at conversational distances. Many surgeons perform one or... more

A closed rhinoplasty is a technique where all of the...

A closed rhinoplasty is a technique where all of the incisions are placed inside the nose. There are no external incisions placed whatsoever. This is a very common technique that is used for both primary and revision nasal surgeries. Open rhinoplasty technique is only used for the most difficult revision rhinoplasty surgeries where very extensive cartilage grafting techniques must be used to reconstruct the nose.

Defining Rhinoplasty

Rhinoplasty has been categorized into two main techniques: Closed and Open. Closed Rhinoplasty In the most basic sense closed Rhinoplasty (also referred to as minimal incision or incisionless) uses only hidden incisions inside the nose. Most, but not all ,surgical techniques are possible with this approach. It is the oldest of the two techniques, dating back over 50 years. Open Rhinoplasty Open Rhinoplasty means that a small incision is made at the base of the nose in the columella. This is... more

Closed rhinoplasty

The closed rhinoplasty involves performing the surgery entirely through incisions inside the nostril. Open rhinoplasty involved an additional external incision across the columella, the strip of skin between the nostrils. Each surgeon has his or her own preference. I like the closed rhinoplasty but not all surgeons are experienced or trained in this technique. The most important factor is not whether rhinoplasty is performed open or closed, but rather the skill and... more

What is 'Closed' Rhinoplasty

This can be confusing for potential patients since all Rhinoplasty procedures are in fact 'open' - in that they involve incisions made in the nose to allow visualization and modification of the nasal structures. However typically a 'closed' approach refers to surgery wherein the incisions are entirely inside the nose, hidden from view. An 'open' Rhinoplasty, on the other hand adds a small horizontal incision across the narrow band of skin separating the nostrils on... more

Closed vs open rhinoplasty

A closed rhinoplasty uses incisions hidden inside the nose and are made through the nostrils. An open rhinoplasty does the same except for making a small incision on the outside along the columella. This usually heals extremely well.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Closed Rhinoplasty

Closed rhinoplasty is rhinoplasty which does not have an external incision on the nose. In patients with the appropriate anatomy, closed rhinoplasty can offer quicker healing times and excellent aesthetic results. Not all closed rhinoplasty(s) are the same, and there are a large amount of technique and surgeon dependent issues with closed rhinoplasty. It is considered a lost art form amongst rhinoplasty and so be certain a surgeon has appropriate knowledge with closed... more

Open vs. closed rhinoplasty

A closed rhinoplasty is when the surgeon uses hidden incisions inside the nostrils to correct the surgery, as opposed to external incisions in an open rhinoplasty.

The term closed rhinoplasty is a misnomer

Endonasal rhinoplasty involves using incisions 'hidden' on the inside of the nose; however, if the flaring nostrils need to be addressed, external incisions are made. There are some surgeons who only perform endonasal rhinoplasties and others who only perform open rhinoplasties. For the right patient, one can use either technique to achieve an excellent result. In general, you should not worry too much about what approach is used, rather you should feel... more

Open versus closed rhinoplasty

Rhinoplasty is a popular and effective surgery to recontour the shape of your nose. An open rhinoplasty is performed when the skin of your nose is lifted off of the internal cartilage and bone framework. This provides the surgeon with excellent visualization of your structures and can help them create a consistent and beautiful result. A close rhinoplasty does not involve lifting the skin off of the internal framework. Because of the better visualization with an open rhinoplasty technique,... more

Closed rhinoplasty is performed through incisions in the nose

Closed rhinoplasty is also known as endonasal rhinoplasty. In this technique, incisions are made in the nose to perform the changes. Open rhinoplasty involves internal incisions and a tiny incision at the base of the nose in the columella. Close rhinoplasty is an excellent technique for minor changes to the nose. Open rhinoplasty is often advocated for for complicated rhinoplasties. Discuss the differences with your surgeon to see what is best for you. more

Closed rhinoplasty candidates

The closed rhinoplasty is when the nose is refined through incisions that are hidden inside the nose. This is an excellent way to take down, raise or narrow a bridge. When work needs to be done on the tip, we usually perform an open rhinoplasty to be more precise with our results.

No external incision in closed rhinoplasty

A closed rhinoplasty is one where the incisions are all made inside the nostril. It is a good technique when minimal correction is needed. Simple crooked noses, isolated dorsal humps are examples where this approach can produce good results. Consult your surgeon to see if this may be a good option for you.

Corey S. Maas, MD

1 review

San Francisco Facial Plastic Surgeon

maasclinic.com

Endonasal rhinoplasty

"Closed" rhinoplasty is a term that has fallen out of favor. It is more properly called endonasal rhinoplasty. This means that, with the exception of perhaps small incisions to narrow the nostrils or inser a chisel into the bones, all the work on your nose is done through the inside of your nose. Incisions are made to expose the cartilages inside the nose, and sometimes the cartilages are "delivered" from inside the nose to see them better. In an open rhinoplasty, a... more

Closed rhinoplasty has in hidden scars but not always ideal approach

A Closed Rhinoplasty refers to a technique for refining the nasal tip from within the nostrils. Therefore, in the Closed approach all the incisions made to shape the tip cartilages result in scarring that is hidden inside the nose. The open approach requires an incision on the surface of the Columella, the structure that divides the nostrils. Working through this incision the surgeon is able to peel the skin off the underlying tip cartilages before making the changes to these cartilages. The... more

Open vs closed rhinoplasty

In a closed rhinoplasty there are only incisions inside the nose and all work is done up the nostrils. In an open rhinoplasty the incisions inside the nostrils are connected across the skin of the columella so that the skin can be pealed back and the structures of the nose can be addressed under direct vision. Each has its role, but I personally do almost all of mine open. Since most agree that all revisions should be done open, why not do the first one open and try to avoid needing any... more

CLOSED vs OPEN Rhinoplasty (Nose Job)

The surgical incisions used in a Rhinoplasty (Nose Job) depend BOTH the on the goals of the operation and on the surgeon's preference. There are 3 different INTERNAL (IE only seen by looking inside the nose) incisions commonly used to shape the tip of nose and its back (dorsum). There are 2 INTERNAL incisions used to shape the nasal septum. There are other incisions used to treat the turbinates and flaring nostrils. IF only INTERNAL incisions are used in a nose job, regardless of how many... more

No outside incisions with closed rhinoplasty.

Hi. 1) We do most rhinoplasty closed, because there is no need for the additional scar. Closed means that the whole operation is done from inside the nostrils. 2) When a patient has complicated anatomy or a difficult tip, then it is a good idea to use the "open" approach. 3) The open approach is easier and so it is favored by younger surgeons. This is not a bad thing, because the scar is hardly noticeable, and it is safer in less experienced hands.