"Open" septoplasty with a "w" incision vs. closed septoplasty? (Photo)

 In our practice, we perform a septoplasty with a closed incision. The open incision is usually used for rhinoplasty procedure. A septoplasty is performed to improve air flow through the nose, does not change the cosmetic appearance. There appears to be other issues causing nasal obstruction other than a deviated septum. Best to seek out a very experienced rhinoplasty surgery for best results. For more information about the differences between a rhinoplasty and a septoplasty, please see the video below

Based on the one picture posted, you seem to have multiple problems contributing to your nasal obstruction. Open rhinoplasty is very reasonable approach (Preferred). Need septal work, nasal tip refinement, and possibly caudal septum positioning. Alar collapse treatment. may require spreader graft. Examination of the turbinates and appropriate treatment.

Most surgeons choose a technique that they are most comfortable with or what they learned during residency.I believe that closed rhinoplasty is best for virtually all nasal surgery. If your surgeon has little experience in closed technique and can get good result with open technique, let him do it. If you want a closed technique, I would choose a different surgeon.