Is Closed Rhinopolasty More Complicated Than Open?

I understand that many doctors prefer the 'open' technique better than 'closed' because it's easier access, but does this mean that more extensive work must be done as well and/or the nose may be a bit more complicated? Thank you.

Doctor Answers 5

Closed versus open rhinoplasty

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In general, the open approach allows greater visualization and is used for more complex noses. The trade-off is a very small external scar and slower healing with more prolonged swelling. The closed approach is typcially used for smaller changes. The up side is quicker resolution of swelling and no external scar with a down side being less visibility.

Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Closed rhinoplasty is not more complicated than open

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The rhinoplasty operation itself is the same whether it is closed or open. The only difference is the incision across the columella in the open approach, which is not necessary in the closed approach. The actual procedures themselves are identical.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

There is no easy rhinoplasty!

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Rhinoplasty is a demanding surgery - every single time!

It is not made easier by the surgical approach - open or closed. Some plastic surgeons feel that the open approach allows them to see better. Rhinoplasty surgeons comfortable with the endonasal (closed) approach will tell you, that they see everything they need to.

At the end, the results depend on what is done (and what is not done) to the nasal framework; not how one got there.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 48 reviews

Open vs Closed Rhinoplasty

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Athough both techniques are difficult., the physical characteristic of each individual nose determines how hard the surgery will be. Most surgeons have their own criteria   to decide which approach will be used. As I have said in previous postings, select the surgeon, not the technique.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Closed vs Open Rhinoplasty

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Closed approach is more difficult.

The open approach is easier to learn and is more popular for teaching residents in training and with time less and less facial plastic surgeons are using the closed approach.

The results are equally good. Its the expertise of the surgeon not the type of rhinoplasty used.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.